UnitedHealth Group

UnitedHealth Group.

  • Dallas, TX


  • $2563-4572 per hour.

  • Irreversible.

  • Full-time.

You’ll take pleasure in the versatility to telecommute from anywhere within the U.S. as you handle some difficult difficulties.

Integrate 2 of the fastest – growing fields in the world with a culture of efficiency, partnership and chance and this is what you get. Leading edge innovation in a market that’s enhancing the lives of millions. Here, development isn’t about another gizmo, it has to do with making Health care information readily available anywhere and whenever individuals require it, securely and dependably. There’s no space for mistake. Join us and begin doing your life’s finest work.SM

Training will be carried out practically from your house. This position is full-time (40 hours/week) Monday – Friday. Staff members are needed to work our typical company hours of 7: 00 am– 6: 00 pm CST. It might be needed, provided the organization requirement, to work periodic overtime or weekends.

All Telecommuters will be needed to comply with UnitedHealth Group’s Telecommuter Policy.

Main Duties:

  • Investigate, evaluation, and supply scientific and/ or coding knowledge in the application of medical and compensation policies within the claim adjudication procedure through file evaluation. This might consist of Medical Director/ doctor assessments, analysis of state and federal requireds, appropriate advantage language, medical and compensation policies and factor to consider of pertinent scientific info
  • Perform scientific protection evaluation of claims, which needs analysis of state and federal requireds, relevant advantage language, medical and compensation policies, coding requirements and factor to consider of pertinent medical info on claims with aberrant billing patterns
  • Perform scientific coding evaluation to make sure precision of medical coding and makes use of scientific proficiency and judgment to identify right coding and billing
  • Understanding of and the capability to: recognize the ICD-10- CM/PCS code task, code sequencing, and discharge personality, in accordance with CMS requirements, Authorities Standards for Coding and Reporting, and Coding Center assistance
  • Need to be proficient in application of present Authorities Coding Standards and Coding Center citations, in addition to showing working understanding of medical requirements documents requirements utilized to effectively validate code projects
  • Strong command of anatomy and physiology, diagnostic treatments, and surgeries established from specialized training and substantial experience with ICD-10- PCS code task
  • Composes clear, precise and succinct reasonings in assistance of findings
  • Identify aberrant billing patterns and patterns, proof of scams, waste or abuse, and suggest suppliers to be flagged for evaluation
  • Maintain and handles everyday case evaluation tasks, with a high focus on quality
  • Supply medical assistance and competence to the other investigative and analytical locations
  • Will be operating in a high-volume production environment that is matrix drive

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 be successful in your

Needed Certifications:

  • High School Diploma/ GED (or greater)
  • 5 years of intense care coding experience
  • CCS (Qualified Coding Expert) or CIC (Licensed Inpatient Coder) or Unlimited Registered Nurse (signed up nurse) with CCS or CIC
  • Inpatient center DRG experience (coding or auditing)
  • Experience with ICD – 10 coding
  • Experience with ICD – 10– PCS
  • Capability to utilize a Windows PC with the capability to use numerous applications at the very same time

Telecommuting Requirements:

  • Needed to have a devoted workspace developed that is separated from other living locations and offers details personal privacy
  • Capability to keep all business delicate files safe (if relevant)
  • Should reside in an area that can get a UnitedHealth Group authorized high-speed web connection or take advantage of an existing high-speed web service

Preferred Certifications:

  • RHIT (signed up health info service technician), RHIA (signed up health details administrator), CDIP (qualified paperwork enhancement professional) OR present qualified center in – client coder
  • Experience utilizing Microsoft Excel with the capability to develop/ modify spreadsheets, utilize sort/ filter function, and carry out information entry
  • Health care claims experience
  • Handled care experience
  • Examination and/ or auditing experience
  • Understanding of medical insurance service, market terms, and regulative standards

Physical and Workplace:

  • Regular speaking, listening utilizing a headset, sitting, usage of hands/ fingers throughout keyboard or mouse, dealing with other items, extended periods operating at a computer system

Armed force & Veterans discover your next objective: We understand your background and experience is various and we like that. UnitedHealth Group values the abilities, experience and commitment that serving in the military needs. Numerous of the worths specified in the service mirror what the UnitedHealth Group culture holds real: Stability, Empathy, Relationships, Development and Efficiency. Whether you are seeking to shift from active service to a civilian profession, or are a skilled veteran or partner, we wish to assist direct your profession journey. Discover more at

Find Out how Teresa, a Senior Quality Expert, deals with military veterans and guarantees they get the very best advantages and experience possible.

Professions with OptumInsight. Details and innovation have remarkable power to change the Health care market and enhance individuals’s lives. This is where it’s occurring. This is where you’ll assist fix the issues that have actually never ever been fixed. We’re releasing details so it can be utilized securely and firmly any place it’s required. We’re producing the absolute best concepts that can most quickly be used to assist our customers enhance the quality of care and lower expenses for millions. This is where the very best and the brightest collaborate to make favorable modification a truth. This is the location to do your life’s finest work.SM

Colorado Homeowners Just: The per hour variety for Colorado locals is $2563 to $4572 Pay is based upon a number of elements consisting of however not restricted to education, work experience, accreditations, and so on. Since the date of this publishing, In addition to your income, UHG provides the following advantages for this position, based on relevant eligibility requirements: Health, oral, and vision strategies; health care; versatile costs accounts; paid parking or mass transit expenses; 401( k) retirement strategy; staff member stock purchase strategy; life insurance coverage, short-term impairment insurance coverage, and long-lasting impairment insurance coverage; company travel mishap insurance coverage; Staff member Support Program; PTO; and employee-paid crucial health problem and mishap insurance coverage.

Variety produces a much healthier environment: UnitedHealth Group is an Equal Job 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, special needs status, sexual preference, gender identity or expression, marital status, hereditary details, or any other particular safeguarded by law.

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

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UnitedHealth Group.

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