UnitedHealth Group.

  • San Antonio, TX


  • Irreversible.

  • Full-time.

Do you have empathy and an enthusiasm to assist others? Changing health care and countless lives as an outcome begins with the worths you welcome and the enthusiasm you give accomplish your life’s finest work.( sm)

The Medical Coding Expert verifies development notes and gets in the proper ICD – 9/ ICD – 10 coding into the DataRAP ® database using the Centers for Medicare and Medicaid Provider (CMS) Threat Change Data Recognition (RADV) standards. This position is likewise accountable for prompt interaction of recognized quality concerns worrying documents and recognition referring to the CMS – HCC method and ICD – 9/ ICD – 10 CM coding standards back to the service provider.

Main Duties:

  • Process attestation sheets and development keeps in mind out of the RightFax work line according to DataRAP ® department standards
  • Examine development notes and paperwork sent out by companies for recognition following CMS standards and ICD – 9/ ICD – 10 Coding Handbook standards and goes into results into proper tab of the DataRAP ® database
  • Carry out the minimum variety of recognitions constant with recognized department objectives
  • Supply clear interaction, with usage of DataRAP ® application, through question to PCP on paperwork not satisfying basic as recognized by “no strategy”
  • Supply clear interaction, with usage of DataRAP ® application, through question to PCP on documents not satisfying requirement of standard administrative elements to a development note
  • Guarantee precision of entry by comparing to result of medical diagnoses on eAttestation post recognition entry
  • Associate attestation sheets got into the DataRAP ® database to supply tracking for all markets
  • Identify and reports quality issues and mistakes to DataRAP ® Scientific Process Quality Expert for evaluation and education
  • Accountable for offering coding assistance to the DataRAP ® Scientific Coding Nurses and to the service providers taking part in the DataRAP ® procedure

You’ll be rewarded and acknowledged for your efficiency in an environment that will challenge you and offer you clear instructions on what it requires to prosper in your function in addition to supply advancement for other functions you might have an interest in.

Needed Certifications:

  • High school diploma or GED equivalent
  • CPC accreditation or evidence that accreditation has actually been acquired within 9 months of hire date from the American Academy of Expert Coders
  • Experience with ICD – 9/ ICD – 10 CM standards and coding
  • Efficiency with Microsoft Workplace applications to consist of Word, Excel, PowerPoint and Outlook
  • Capability to take a trip (in your area and non – in your area) as figured out by company requirement
  • This position needs Tuberculosis screening in addition to evidence of resistance to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through laboratory verification of resistance, recorded proof of vaccination, or a medical professional’s medical diagnosis of illness
  • You will be asked to perform this function in a workplace setting or other business place
  • Workers are needed to evaluate for signs utilizing the ProtectWell mobile app, Interactive VoiceResponse (i.e., entering your signs through phone system) or a comparable UnitedHealth Group authorized sign screener prior to getting in the work website every day, in order to keep our work websites safe. Workers need to abide by any state and regional masking orders. In addition, when in a UnitedHealth Group structure, workers are anticipated to use a mask in locations where physical distancing can not be achieved

Preferred Credentials:

  • College experience
  • 2 years of medical coding experience with attention to information and a high level of precision in a medical or handled care setting
  • Experience with exclusive medical coding systems
  • Capability to evaluate truths and workout sound judgment when getting here at conclusions
  • Capability to successfully report shortages with an advised option in oral and/ or written type

Professions with WellMed. Our focus is easy. We’re innovators in preventative healthcare, making every effort to alter the face of healthcare for senior citizens. We’re affecting 550,000 lives, mainly Medicare qualified elders in Texas and Florida, through main and multi-specialty centers, and contracted medical management services. We have actually signed up with Optum, part of the UnitedHealth Group household of business, and our objective is to assist the ill ended up being well and to assist clients comprehend and manage their health in a long-lasting effort at health. Our companies and personnel are picked for their commitment and concentrate on preventative, proactive care. For you, that implies one amazing group and a particular chance to do your life’s finest work.( sm)

Variety produces a much healthier environment: OptumCare and its associated medical practices are Equal Work Opportunity/Affirmative Action companies and all certified candidates will get factor to consider for work without regard to race, color, religious beliefs, sex, age, nationwide origin, secured seasoned status, impairment status, sexual preference, gender identity or expression, marital status, hereditary details, or any other particular safeguarded by law.

OptumCare and its associated medical practices is a drug-free office. Prospects are needed to pass a drug test prior to starting work

Task Keywords: Medical Coding Expert, San Antonio, TX, Texas.

UnitedHealth Group.

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