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Coding Quality Analyst - National Remote

Company: UnitedHealth Group
Location: Hamel
Posted on: May 28, 2023

Job Description:

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.

As part of our centralized quality assurance team, this role will be responsible for performing coding quality assurance reviews for our Surgery coders. This will involve being responsible for understanding not only coding guidelines from CMS, AMA and AHA but will also be required to become familiar with client - specific pathways in order to timely and accurately perform Surgery quality assurance reviews. This role will be required to perform in a fast-paced environment and be flexible enough to be able to work independently as well as very closely with other members of the QA team under specific targeted parameters.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 6:00am - 6:00pm EST. It may be necessary, given the business need, to work occasional overtime or weekends

All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

  • Perform Surgery coding quality assurance reviews on all clients and coders monthly and/or quarterly in a Microsoft Excel - based tool
  • Helps identify and document coding trends to provide continuous preemptive education requests for clients and employed resources
  • Be responsible for understanding all client pathways
  • Work with management to fulfill requests for education sessions for issues found during monthly quality audits, as issues are found, and within the same month as audit to prevent further poor quality from resources
  • Responsible for completing tickets from clients and coding staff as quic kly and efficiently as possible
    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:
    • High School Diploma / GED (or higher)
    • 5+ years of surgery coding experience
    • Proficiency with using Microsoft Office applications, including Microsoft Excel and Microsoft PowerPoint
    • Certified Professional Coder (CPC) Certification OR equivalent professional certification
    • Ability to work normal business hours of 6:00am - 6:00pm EST. It may be necessary, given the business need, to work occasional overtime or weekends
      Preferred Qualifications:
      • Quality Assurance auditing experience
      • Additional specialty - specific certifications
      • Previous experience working in a multi-specialty profession
        Telecommuting Requirements:
        • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
        • Ability to keep all company sensitive documents secure (if applicable)
        • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
          Soft Skills:
          • Ability to work independently in fast - paced environment
          • Ability to meet internal and external targets and deadlines
          • Strong decision making, judgment, and analytical skills
          • Excellent communication and interpersonal skills
          • Must be task orientated and have ability to prioritize multiple projects with competing priorities
            Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life's best work. SM

            California, Colorado, Connecticut, Nevada, Washington or New York, Rhode Island Residents Only: The salary range for California / Colorado / Connecticut / Nevada / Washington / New York / Rhode Island residents is $22.45 - $43.89.Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.



Keywords: UnitedHealth Group, Minneapolis , Coding Quality Analyst - National Remote, Professions , Hamel, Minnesota

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