UnitedHealth Group
- Cleburne, TX
- Permanent
- Full-time
MA Certification Fee Reimbursement – 401 K Match
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 accomplish your life’s finest work.( sm)
This position is accountable for the coordination of HEDIS and STARs information event procedure. This assesses the quality and efficiency of medical documents procedures by carrying out quality medical record evaluations, helping in the enhancement of the scientific documents procedure, recognizing patterns, keeping precise records of evaluation activities, makes sure all information sent to the health insurance fulfills the HEDIS/Star technical requirements for medical records. The Clinical Quality Coordinator will have a responsibility to offer a requirement of care that satisfies or surpasses that of a fairly qualified and experienced Medical Assistant.
Primary Responsibilities:
- Assisting in the evaluation of medical records to highlight Star/HEDIS chances for the medical personnel
- Review medical records for information collection, information entry, and quality tracking consisting of health plan/WellMed type submission and chart collection activities that close spaces in care
- Partner with the management group, the practice administrative or scientific personnel to determine patterns observed and prospective methods to support the practice
- Communicate scheduling difficulties or patterns that might adversely affect quality results
- Track and pattern barriers/challenges that exist at their designated groups so that much better results can be attained consisting of access to visits, absence of act on recommendations, or irregular billing practices
- Activities might consist of information collection, information entry, quality tracking, health plan/WellMed kind submission and chart collection activities
- Assists with regional IRR audits
- Navigate numerous paperwork systems and get medical record areas helpful of HEDIS/Star procedures
- Support chart chase procedure by asking for records from service provider’s workplaces as required
- Maintains education/knowledge base of HEDIS/STARs
- Performs all other associated responsibilities as designated
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 or GED
- Sustained Medical Assistant accreditation
- Current BLS accreditation
- 3+ years of health care experience to consist of experience in a handled care setting
- 3+ years of experience with information analysis/quality chart evaluations. Need to have the ability to evaluate information and supply suggestions for enhancement
- 2+ years as a Certified Medical Assistant
- Experienced utilizing Microsoft workplace applications, consisting of databases, word-processing, and stand out spreadsheets
- Expert in computer system literacy in electronic health record
- Knowledge of medical terms
- Proven capability to coach others
- This position needs Tuberculosis screening along with 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
- Full COVID-19 vaccination is an important task function of this function. Prospects situated in states that mandate COVID-19 booster dosages should likewise adhere to those state requirements. UnitedHealth Group will comply with all federal, state and regional policies along with all customer requirements and will acquire essential evidence of vaccination, and boosters when relevant, previous to work to make sure compliance. Prospects should have the ability to carry out all vital task functions with or without sensible lodging
Preferred Qualifications:
- Licensed Vocational/Registered Nurse, or Certified Professional Coder
- 2+ years of college, in pursuance of a Bachelor’s or Associate’s degree
- 2+ years of experience dealing with HEDIS/STAR procedures
- 1+ years of HEDIS/STAR experience or involvement with comparable regulative reporting
- ICD 9/10 and CPT coding experience
- Experience operating in a doctor, supplier, and/or medical workplace
- EMR and HEDIS understanding and experience
Physical and Mental Requirements:
- Ability to raise to 10 pounds
- Ability to press or pull heavy things consuming to 50 pounds of force
- Ability to mean prolonged time periods
- Ability to utilize great motor abilities to run devices and/or equipment
- Ability to get and understand directions verbally and/or in composing
- Ability to utilize sensible thinking for easy and complicated issue resolving
USMD part of OptumCare is a multi-specialty group of health center, centers and doctors. USMD serves the Dallas-Fort Worth city with more than 250 doctors and associate specialists, and offers health care services to clients in more than 20 various specializeds at its 2 medical facilities, 4 cancer treatment centers and almost 50 doctor centers, much of which are multi-specialty.
To secure the health and wellness of our labor force, clients and neighborhoods we serve, UnitedHealth Group and its affiliate business need all staff members to reveal COVID-19 vaccination status prior to starting work. In addition, some functions and places need complete COVID-19 vaccination, consisting of boosters, as a vital task function. UnitedHealth Group abides by all federal, state and regional COVID-19 vaccination policies in addition to all customer COVID-19 vaccination requirements and will acquire the essential info from prospects prior to work to guarantee compliance. Prospects need to have the ability to carry out all vital task functions with or without sensible lodging. Failure to fulfill the vaccination requirement might lead to rescission of a work deal or termination of work.
Careers with USMD. If you’re concept of an excellent day at work includes putting excellent originalities to work, we need to talk. Throughout the higher Dallas location, we’ve constructed a progressing, incorporated healthcare design that brings medical care and expert companies together to operate in brand-new and much better methods. A growing part of OptumCare and the UnitedHealth Group household of business, our multi – specialized group of healthcare facilities, centers and suppliers includes more than 250 doctors and associate professionals. We supply healthcare services to clients in more than 20 various specializeds at our 2 health centers, 4 cancer treatment centers and almost 50 doctor centers. Join us and begin doing your life’s finest work.( sm)
WellMed was established in 1990 with a vision of being a physician-led business that might alter the face of health care shipment for elders. Through the WellMed Care Model, we focus on assisting our clients remain healthy by offering the care they require from physicians who appreciate them. We partner with numerous Medicare Advantage health insurance in Texas and Florida and eagerly anticipate continuing development.
Diversity produces a much healthier environment: OptumCare is an Equal Employment Opportunity/Affirmative Action companies 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 info, or any other particular safeguarded by law.
OptumCare is a drug-free office. Prospects are needed to pass a drug test prior to starting work
UnitedHealth Group
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