Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The HIM Facility Manager interacts with other departments within the assigned client site(s) and serves as a representative of the O360 HIM Operations department. The incumbent attends managerial meetings as required and supports the core values of Optum360, which is an integral part of this position. The HIM Manager frequently interacts with staff at the Corporate/National, Regional and Local organizations. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations.
Primary Responsibilities:
This position is directly accountable for meeting performance metrics, key performance indicators established by both the client and Optum 360 to ensure accurate and timely patient health information management and coding. This role is also responsible for creating a patient centric culture while maintaining strong operational metrics and being financially fiscal.
Provides system level oversight for the development of processes and initiatives designed to improve Revenue Cycle performance in assigned areas which includes:
SLA and MSA Compliance
Audit Follow-up and Compliance
Client Liaison (i.e., Relationship development, program coordination)
Client/Customer Engagement
Provides system level oversight for Optum360 client improvement programs and initiatives related to assigned HIM/Coding activities, working within the functional HIM/Coding and Client leadership, as warranted
Effectively participates in HIM/Coding Quality Assurance, Patient Satisfaction, Client Satisfaction, Employee Engagement and Process Improvement activities; ensuring associate understanding and commitment, as well as expected process improvement outcomes
Maintains and demonstrates expert knowledge of the application of HIM/Coding processes and best practices; drives the integration of Optum360 HIM/Coding related business objectives within the client environment
Provides leadership for departmental services through collaboration with customers, employees, physicians, clinics, other Optum360 / client departments and services, vendors, etc. Scope of job duties, include and are not limited to:
Directly responsible for effectively managing the assigned HIM/Coding activities and staff members; recommend, design and implement procedures for compliance with regulations and standards
Maintains close business relationship with associates at the regional and local levels by ensuring onsite and virtual presence at regular intervals and during special events
Educates client and organizational associates regarding assigned HIM/Coding requirements:
Functions as a consultant to Regional and facility-based leadership, physicians, and others regarding assigned performance guidelines and standards for HIM/Coding services
Identifies action plans to improve the quality of services in a cost efficient manner and facilitates plan implementation.
Prepares required reports using statistically sound information, displaying content in easily understandable format; escalates to the Regional Manager any unfavorable trends
Participates in local, regional and national health care revenue activities and professionally represents Optum360 at these functions
Subject Matter Expert of applicable federal, state, and local laws and regulations, Optum360's Compliance, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
3+ years of experience in a leadership role in an acute care setting
Proficiency with: Microsoft Excel, Word, Project, PowerPoint and SharePoint
Experience with the major HIM and/or Coding technologies currently in use, and/or other -like- systems
Experience managing multiple, concurrent running projects, prioritize tasks and ability to adapt to frequent changes in departmental priorities
Experience working with executive, managerial and staff level clientele
Operational knowledge of Federal and State regulations pertaining to patient admissions, as well as standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC).
Preferred Qualifications:
Certifications include RHIT or RHIA
Experience consulting and project management experience in revenue cycle design and optimization
Experience working in a union environment
HIM and/or Coding Department leadership experience, managing one or more functional areas of: HIM, Coding, or other management functions related to revenue cycle activities in a complex, multi-site environment
Experience leading or participating in HIM and/or Coding-related IT and/or Contact Center program implementation
California Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
