Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 600,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs.

UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.

At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

www.ucare.org/careers/

EOE/AA

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE

Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 200 Workplace for 13 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

AUDIT & COMPLIANCE CODING SUPERVISOR

Work Location: Work from home or Office for Your Day

The health and safety of our employees, members, providers, and our community is our highest priority. Therefore, all new employees are expected to be fully vaccinated against COVID-19 prior to starting at UCare, subject to limited exceptions such as for a sincerely held religious belief or for medical reasons.

Position Description

As the Audit & Compliance (A&C) Coding Supervisor, you will be responsible to provide supervisory oversight and work direction to all Audit & Compliance (A&C) Senior Coding Analysts. Ensure proper training is received and provide timely feedback of staff performance Manage the coordination and administration of activities related to the A&C coding team functions and processes to meet departmental service level agreements and timelines. Serve as a central point of contact for the Configuration & Claims Operations (CCO) A&C coding team.

In addition, you will monitor and track all team activities and projects to ensure standards are being followed with proper documentation, prioritization, collaboration, communication, and status of work. Foster and promote collaboration with other CCO teams, project and/or business stakeholders to identify business impact, prioritization and communication plans and create transparency into status of issues, work and projects.

• Participate in the interviewing, hiring, orientation, and training of staff.

• Establish, communicate, and enforce performance standards for staff including goals and development plan creation, and quarterly and annual reviews.

• Supervise and coordinate all activities of A&C Senior Coding Analysts. Analyze and distribute daily workload to support CCO department and other stakeholders.

• Develop, implement, and maintain policies and procedures, work instructions, and other documentation to establish clear expectations for staff.

• Evaluate resource needs and collaborate with the CCO Audit & Compliance Manager on coding and operational process improvements.

• Provide oversight and management of coding issues impacting appropriate claims adjudication and provider appeals including creation of appropriate provider education articles or provider manual updates.

• Represent CCO A&C coding team as a participant and SME in department and interdepartmental meetings, committees or workgroups, as assigned by CCO Audit & Compliance Manager.

• Ensure adherence to governmental regulations and member contracts relating to coding, documentation, compliance, and reimbursement/billing/coverage policies.

• Participate in department projects, assigning staff resources, and fulfilling responsibilities as assigned by CCO Audit & Compliance Manager.

• Collaborate with other CCO and organizational stakeholders to determine priorities, resource estimations, delivery deadlines for completion of workload, and communication support.

• Communicate status, accomplishments, and risks regularly and/or as needed to the CCO Audit & Compliance Manager.

• Other projects and duties as assigned.

Education

Bachelor's degree in business or related field; demonstrated experience may be considered in lieu of degree. Currently credentialed as a CPC and/or CCS certification.

Required Experience

Bachelor's degree in business or related field; demonstrated experience may be considered in lieu of degree. Currently credentialed as a CPC and/or CCS certification.

Preferred Experience

Experience with business process improvement. Knowledge of health insurance industry and regulatory requirements. Working knowledge of Medicaid, Medicare, and Commercial Markets.

THE UCARE DIFFERENCE

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

JOB POST DATE: 09/14/2022