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 obstacles.

Combine 2 of the fastest – growing fields on earth with a culture of efficiency, cooperation 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 Healthcare information offered any place 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 regular company hours of 7: 00 AM – 6: 00 PM. Training will be carried out essentially from your house.

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

Primary Responsibilities:

  • Investigate, evaluation, and supply scientific and/ or coding competence 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, suitable advantage language, medical and compensation policies and factor to consider of appropriate scientific 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 pertinent medical details on claims with aberrant billing patterns
  • Perform medical coding evaluation to make sure precision of medical coding and uses scientific know-how and judgment to identify right coding and billing
  • Knowledge of and the capability to: recognize 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 present Official Coding Guidelines and Coding Clinic citations, in addition to showing working understanding of medical requirements paperwork requirements utilized to effectively corroborate code tasks
  • 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 suppliers to be flagged for evaluation
  • Maintain and handles everyday case evaluation tasks, with a high focus on quality
  • Provide scientific assistance and know-how 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 in addition to offer advancement for other functions you might have an interest in.

Required Qualifications:

  • High School Diploma/ GED (or greater)
  • 3+ years of inpatient severe 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 get 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 very 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 info specialist), RHIA (signed up health details administrator), CDIP (qualified documents enhancement specialist), OR present 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 offers info personal privacy
  • Ability to keep all business delicate files safe and secure (if appropriate)
  • Must 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

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 aiming to shift from active service to a civilian profession, or are a skilled 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 remarkable 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 fixed. We’re releasing details so it can be utilized securely and safely any place it’s required. We’re developing 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 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 income variety for Colorado locals is $2615 – $4663 The wage variety for Connecticut/ Nevada citizens is $2885 – $5130 Pay is based upon a number of elements consisting of however not restricted to education, work experience, accreditations, and so on. In addition to your income, UnitedHealth Group provides advantages such as, a thorough advantages bundle, reward and acknowledgment programs, equity stock purchase and 401 k contribution (all advantages go through 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 develops 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, special needs status, sexual preference, gender identity or expression, marital status, hereditary details, or any other particular secured 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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