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Coding Quality Analyst – Telecommute

UnitedHealth Group

This is a Full-time position in Eden Prairie, MN posted March 2, 2021.

Talk about meaningful work.

Talk about an important role.

Let’s talk about your next career move.

Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible.

This means working behind the scenes ensuring a member
– centric approach to care.

You’ll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives.

Here’s your opportunity to discover your life’s best work.(sm) You’ll enjoy the flexibility to telecommute* from within the U.S.

as you take on some tough challenges.

Primary Responsibilities: Positions in this function are responsible for direction and guidance on clinical quality improvement and management programs including accreditation Conduct clinical quality audits and may also be responsible for NCQA requirements Responsible for the reporting and analysis of member quality and for the development of plans and programs to support continuous quality improvement using HEDIS and other tools.

Evaluate clinical documentation to ensure accurate coding Timely communication of identified quality issues concerning documentation back to the provider Improvement in coding accuracy across the network
– the minimum productivity goal is determined by project (18-20 encounters per hour) with an expectation of minimum 95% accuracy rate Perform audits of clinical documentation to ensure all assigned ICD codes are accurate and supported based on coding guidelines Query provider when documentation is conflicting, ambiguous or incomplete Identify issues and trends in coding and documentation 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: Associate degree or higher or significant equivalent work experience Coding Certification from AAPC or AHIMA professional coding association (CPC, RHIT, CCS; the CPC-A and CCA designation is not acceptable) 5+ years of experience ICD-9 / 10 coding, preferably in a Managed Care setting, with attention to detail and high accuracy rate 2+ years of coding experience in a provider’s office, inpatient setting or a Medicare Advantage health plan setting
– can be combined experience 2+ years of Provider education experience
– communicating directly with providers 2+ years of Medicare Risk Adjustment experience with proficient knowledge of CMS
– HCC model and guidelines Microsoft Office proficiency (Word, Excel, PowerPoint & Outlook) 1+ years of experience creating compliant Provider queries If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener.

When in a UnitedHealth Group building, employees are required to wear a mask in common areas.

In addition, employees must comply with any state and local masking orders Preferred Qualifications: Bachelor’s degree 1+ years of experience in a coding auditor role
– auditing the work of other coders Training / mentoring / coaching experience Knowledge of HEDIS / STARS CRC (Certified Risk Coder) in addition to required coding certification Previous experience with data analysis and reporting Previous experience using diagnosis coding data and trends to identify training opportunities Careers with Optum.

Here’s the idea.

We built an entire organization around one giant objective; make health care work better for everyone.

So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.

Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.

For you, that means working on high performance teams against sophisticated challenges that matter.

Optum, incredible ideas in one incredible company and a singular opportunity to do your life’s best work.(sm)Colorado Residents Only: The salary/hourly range for Colorado residents is$20.77 to $36.88.

Pay is based on several factors including but not limited to education, work experience, certifications, etc.

As of the date of this posting, In addition to your salary, UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.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.Job Keywords: CPC, CRC, Coding Analyst, AAPC, AHIMA, clinical documentation, telecommute, telecommuter, work from home, work at home, remote

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