UnitedHealth Group

UnitedHealth Group

  • Dallas, TX
  • Permanent
  • Full-time
You’ll delight in the versatility to telecommute from anywhere within the U.S. as you handle some difficult difficulties.

Combine 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 device, it has to do with making Healthcare 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

This position is complete – time (40 hours/ week), Monday – Friday. Staff members are needed to work our typical service hours of 7: 00 AM – 6: 00 PM. Training will be performed essentially from your house.

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

Primary Responsibilities:

  • Investigate, evaluation, and offer scientific and/ or coding competence in the application of medical and repayment 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 repayment policies and factor to consider of appropriate medical info
  • Perform scientific protection evaluation of claims, which needs analysis of state and federal requireds, relevant advantage language, medical and repayment policies, coding requirements and factor to consider of appropriate scientific details on claims with aberrant billing patterns
  • Perform scientific coding evaluation to guarantee precision of medical coding and uses scientific competence and judgment to identify right coding and billing
  • Knowledge of and the capability to: determine the ICD – 10 – CM/ PCS code task, code sequencing, and discharge personality, in accordance with CMS requirements, Official Guidelines for Coding and Reporting, and Coding Clinic assistance
  • Must be proficient in application of existing Official Coding Guidelines and Coding Clinic citations, in addition to showing working understanding of medical requirements paperwork requirements utilized to effectively corroborate code projects
  • Solid command of anatomy and physiology, diagnostic treatments, and surgeries established from specialized training and comprehensive experience with ICD – 10 – PCS code project
  • Writes clear, precise and succinct reasonings in assistance of findings
  • Identify aberrant billing patterns and patterns, proof of scams, waste or abuse, and advise companies to be flagged for evaluation
  • Maintain and handles day-to-day case evaluation projects, with a high focus on quality
  • Provide medical assistance and proficiency 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 offer you clear instructions on what it requires to prosper in your function along with supply advancement for other functions you might have an interest in.

Required Qualifications:

  • High School Diploma/ GED (or greater)
  • 3+ years of inpatient intense care medical facility coding experience (might replace comparable years of DRG recognition experience) OR 3+ years of Clinical Documentation Improvement experience (coding OR auditing)
  • Unrestricted registered nurse (signed up nurse)
  • CCS OR CIC OR the capability to acquire accreditation within 6 months of hire
  • Experience with ICD – 10 CM and PCS coding
  • Ability to utilize a Windows PC with the capability to use several applications at the exact same time
  • Ability to work any 8-hour shift in between the hours of 7: 00 AM – 6: 00 PM from Monday – Friday

Preferred Qualifications:

  • RHIT (signed up health details professional), RHIA (signed up health details administrator), CDIP (qualified documents enhancement professional), OR existing licensed center in – client coder
  • Experience with utilizing Microsoft Excel (capability to produce and modify spreadsheets, utilize sort and filter function, and carry out information entry)
  • Healthcare claims experience
  • Managed care experience
  • Investigation and/ OR auditing experience
  • Knowledge of medical insurance company, market terms, and regulative standards

Telecommuting Requirements:

  • Required to have a devoted workspace developed that is separated from other living locations and supplies details personal privacy
  • Ability to keep all business delicate files safe and secure (if appropriate)
  • Must reside in a place that can get a UnitedHealth Group authorized high-speed web connection or utilize an existing high-speed web service

Physical and Work Environment:

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

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

Military & 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: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are seeking to shift from active service to a civilian profession, or are a knowledgeable veteran or partner, we wish to assist your profession journey. Discover more at

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

Careers with OptumInsight. Details and innovation have incredible power to change the Healthcare market and enhance individuals’s lives. This is where it’s occurring. This is where you’ll assist resolve the issues that have actually never ever been resolved. We’re releasing details so it can be utilized securely and safely any place it’s required. We’re producing the 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 interact to make favorable modification a truth. This is the location to do your life’s finest work.SM

Colorado, Connecticut or Nevada Residents Only: The wage variety for Colorado homeowners is $2615 – $4663 The wage variety for Connecticut/ Nevada citizens is $2885 – $5130 Pay is based upon numerous elements consisting of however not restricted to education, work experience, accreditations, and so on. In addition to your income, UnitedHealth Group uses advantages such as, a thorough advantages bundle, reward and acknowledgment programs, equity stock purchase and 401 k contribution (all advantages undergo eligibility requirements). No matter where or when you start a profession with UnitedHealth Group, you’ll discover a significant option of advantages and rewards

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, faith, sex, age, nationwide origin, secured experienced 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 – complimentary office. Prospects are needed to pass a drug test prior to starting work.

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UnitedHealth Group

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