UnitedHealth Group.

  • McAllen, TX


  • Long-term.

  • 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 accept and the enthusiasm you give attain your life’s finest work.( sm)

The Medical Coding Consultant functions as the topic specialist for coding concerns associated with attestations and development notes along with the submission procedure for all PCPs, processors, PBMs and other network personnel in all markets in addition to functioning as the acting Supervisor in the Supervisor’s lack. Accountable for verifying development notes and going into the suitable ICD-10 coding into the DataRAP ® ® database making use of the Centers for Medicare and Medicaid Provider (CMS) Danger Change Data Recognition (RADV) standards. The position is likewise accountable for the prompt interaction of recognized quality problems worrying documents and recognition referring to the CMS-HCC approach and ICD-10- CM coding standards back to the supplier.

Main Obligations:

  • Assists in education sessions for Medical care Physicians, Doctor Service Managers,
  • and Network planners consisting of however not restricted to RAPS University
  • Uploads and preserve “regularly asked concerns” on the business SharePoint website
  • Examines development notes and documents sent out by suppliers for recognition following CMS standards and ICD-10 Coding Handbook standards and gets in results into suitable tab of the DataRAP ® database
  • Carries out recognitions constant with recognized department objectives
  • Offers clear interaction, with usage of DataRAP ® application, through inquiry to PCP on paperwork not satisfying basic as determined by “no strategy”
  • Makes sure precision of entry by comparing to result of medical diagnoses on eAttestation post recognitions entry
  • Supplies coding assistance to the DataRAP ® Scientific Coding nurses, medical coding experts and to the service providers taking part in the DataRAP ® procedure
  • Recognizes and reports quality issues and mistakes
  • Supplies appropriate updates using all resource memberships

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

Needed Certifications:

  • High School diploma or GED equivalent
  • CPC accreditation or capability to acquire one within 9 months from the American Academy of Expert Coders
  • 5 years of coding experience
  • Experience working straight with service providers especially in training on coding
  • Efficiency with Microsoft Workplace applications to consist of Word, Excel, PowerPoint and Outlook
  • Understanding of ICD-10 CM standards and coding
  • Some taking a trip might be needed
  • 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 provisioned with suitable Individual Protective Devices (PPE) and are needed to perform this function with clients and members on website, as this is a vital function of this function
  • Workers are needed to evaluate for signs utilizing the ProtectWell mobile app, Interactive Voice Reaction (i.e., entering your signs by means of phone system) or a comparable UnitedHealth Group-approved sign screener prior to going into the work website every day, in order to keep our work websites safe. Workers need to adhere to 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 Certifications:

  • 6 years of coding experience.
  • 1 years serving in a lead capability
  • Able to keep professionalism and a favorable service mindset at all times
  • Strong attention to information
  • Capability to carry out in a due date driven environment
  • Excellent interaction, composing, and discussion abilities
  • Capability to successfully report shortages with an advised option in oral and/or written type
  • Capability to evaluate realities and workout sound judgment when getting here at conclusions

Professions with WellMed. Our focus is basic. We’re innovators in preventative healthcare, making every effort to alter the face of healthcare for elders. 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 chosen for their devotion and concentrate on preventative, proactive care. For you, that indicates one extraordinary group and a particular chance to do your life’s finest work.( sm)

For more details on our Internal Task Post Policy,.

Variety produces a much healthier environment: UnitedHealth Group is an Equal Work Opportunity/Affirmative Action company 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.

UnitedHealth Group is a drug-free office. Prospects are needed to pass a drug test prior to starting work.

Task Keywords: Medical Coding Consultant, McAllen, TX, Texas.

UnitedHealth Group.

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