Senior Manager - Revenue Integrity (remote)

Optum NY/NJ, is seeking a Senior Manager Revenue Integrity to join our team in Middletown, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Senior Manager of Revenue Integrity serves as a trusted partner to the VP of Revenue Integrity, providing support across coding compliance, auditing, and education functions. This role is responsible for ensuring accurate, complete, and compliant code capture for professional fee services while driving continuous improvement through coder education and audits.

If you are located in New York, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Coding Compliance & Program Oversight
  • Provide oversight of coding compliance, ensuring alignment with CMS, Optum, and payer-specific requirements
  • Establish and maintain audit frameworks (prospective and retrospective) to monitor coding accuracy and compliance
  • Identify compliance risks, escalation of high-risk findings, and collaborate across
  • Revenue Integrity functions to mitigate identified risks
  • Ensure audit methodologies, scoring, and reporting are consistent and defensible
• Coding & Regulatory Expertise
  • Maintain current knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer policy updates
  • Serve as a resource for coding and compliance interpretation across teams
  • Translate regulatory changes into operational workflows, education, and guidance
• Team Leadership & Development
  • Lead, mentor, and develop coding, auditing, and/or education staff
  • Promote a culture of accountability, collaboration, and continuous improvement

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:

• Undergraduate degree or equivalent experience
• Bachelor's degree in healthcare administration, Health Information Management, or related field preferred
• CPC, CCS, RHIA, or equivalent coding certification
• 10+ years of experience in coding, auditing, compliance, or revenue integrity
• Proven experience leading coding compliance, audit, or education programs
• Leadership experience managing teams and driving performance
• Experience with coding audits, QA programs, and compliance monitoring
• Leadership experience
• Demonstrated expertise in professional fee coding across multiple specialties
• Deep knowledge of CPT, ICD-10-CM, HCPCS, CMS, and payer guidelines
• Solid understanding of revenue cycle operations, including charge capture and denial management
• Demonstrated ability to analyze data, identify trends, and translate findings into actionable improvements
• Proven excellent written and verbal communication skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.