UnitedHealth Group

UnitedHealth Group.

  • Carmel, IN


  • Irreversible.

  • Full-time.

Telecommute with limitations:

This position will mainly work from another location, however prospects should lie within main Indiana (Indianapolis market chosen) as periodic travel to American Health Network, Part of Optum medical practices is needed.

OptumCare is a quickly growing nationwide, integrated healthcare company that assists doctors and other companies provide the best care at the correct time in the best setting. We develop and handle shipment systems in markets where we can accomplish the Quadruple Aim– a much better client experience, greater quality care, lower expenses, and a much better experience for service providers. With our proficiency and resources, we are on the cutting edge changing the healthcare shipment system to assist enhance the total health of clients and neighborhoods.

This doctor led, client centric, and information driven organization develops worth by providing and assisting in care throughout the complete continuum through high carrying out networks consisted of owned, handled and contracted doctors, advanced specialists and other service providers. Our system effect extends throughout doctors, specialized care, immediate care, house health, post-acute shifts, intricate care in proficient nursing centers and palliative care.

Job Summary:

This position is accountable for potential and retrospective evaluation of the Electronic Health Record (EHR) to help companies in more particular and total documents and coding. Through interaction with the doctors and other clinicians, this function assists in enhancement in the quality, efficiency, and precision of the medical record documents to support intensity of health problem, medical requirement, danger change aspect and level of services rendered.

Primary Responsibilities:

  • Conducts concurrent evaluations of chosen client records to attend to clearness, efficiency, consistency, and accuracy of scientific paperwork
  • Demonstrates understanding of scientific documents requirements to guarantee that the intensity of disease, danger of death, and services supplied are properly shown in the record
  • Serves as a resource on proper medical documents to support the coded conditions and run the risk of change elements
  • Communicates paperwork inconsistencies and coding meanings to the doctors both composed and verbally as required to clarify scientific documents in accordance to question requirements and/or policies
  • Conduct 1:1 academic sessions with doctors and other health care employee associated with particular documents and coding requirements
  • Collaborates and informs he multi-disciplinary group, consisting of doctors, nurse specialists, doctor assistants, executive directors, practice supervisors, coding/billing personnel and others relating to medical paperwork and coding finest practices
  • Utilizes the electronic health record successfully
  • Effectively leverages resources to produce remarkable results, welcomes modification, and constructively fixes barriers and restraints
  • Participates in quality and efficiency enhancement activities
  • Attends conferences and takes part on committees as asked for
  • Reviews present literature and goes to training sessions and workshops to keep notified of brand-new advancements in the field and to keep accreditation
  • Performs other associated responsibilities and obligations as directed

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 be successful in your function in addition to supply advancement for other functions you might have an interest in.

Required Qualifications:

  • Certified Professional Coder (CPC) or Certified Coding Specialist– Physician (CCS-P)
  • At least 2 years of coding experience in physician-based settings (doctor workplaces or group practices) or in the payer environment
  • Full COVID-19 vaccination is a vital requirement of this function. UnitedHealth Group will comply with all federal, state and regional guidelines along with all customer requirements and will get essential evidence of vaccination prior to work to guarantee compliance

Preferred Qualifications:

  • Certified Risk Adjustment Coder (CRC)
  • Knowledge of anatomy, pathophysiology, and medical terms required to properly code medical diagnoses
  • Expertise in examining and appointing precise medical codes for medical diagnoses carried out by doctors and other certified doctor in the workplace setting
  • Sound understanding of medical coding standards and guidelines
  • Expert in ICD-10 medical diagnosis coding
  • An eager understanding of the effect of medical diagnosis coding on threat change payment designs
  • Apply correct medical diagnosis code project under different threat modification designs consisting of HCC, CDPS, ACA-HHS and personal payer designs
  • Understand making use of information mining from information recorded through threat modification coding
  • Understand predictive modeling from information recorded through threat change coding
  • Ability to determine and interact paperwork shortages to suppliers to enhance paperwork for precise danger change coding
  • Expert understanding in health info paperwork, information stability, and quality

UnitedHealth Group needs all brand-new hires and staff members to report their COVID-19 vaccination status.

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

Diversity produces a much healthier environment: UnitedHealth Group is an Equal Employment 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 – complimentary office. Prospects are needed to pass a drug test prior to starting work.

Job Keywords: Coding quality expert, medical coding expert, licensed expert coder, licensed coding professional, qualified danger modification coder, Indianapolis, IN, Indiana.

UnitedHealth Group.

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