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 welcome 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 examines the quality and efficiency of scientific documents procedures by carrying out quality medical record evaluations, helping in the enhancement of the scientific documents procedure, determining patterns, keeping precise records of evaluation activities, makes sure all information sent to the health insurance satisfies the HEDIS/Star technical requirements for medical records. The Clinical Quality Coordinator will have a responsibility to offer a requirement of care that fulfills or goes beyond that of a fairly qualified and well-informed 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 kind submission and chart collection activities that close spaces in care
- Partner with the management group, the practice administrative or scientific personnel to recognize patterns observed and possible techniques to support the practice
- Communicate scheduling difficulties or patterns that might adversely affect quality results
- Track and pattern barriers/challenges that exist at their appointed groups so that much better results can be attained consisting of access to consultations, 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 acquire medical record areas helpful of HEDIS/Star steps
- 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 tasks as appointed
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 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. Should have the ability to examine information and offer 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 in addition to 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 a vital task function of this function. Prospects situated in states that mandate COVID-19 booster dosages need to likewise adhere to those state requirements. UnitedHealth Group will follow all federal, state and regional guidelines 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 necessary task functions with or without affordable 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 steps
- 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 represent 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 rational thinking for basic and intricate issue resolving
USMD part of OptumCare is a multi-specialty group of healthcare facility, 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 health centers, 4 cancer treatment centers and almost 50 doctor centers, much of which are multi-specialty.
To safeguard 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 areas need complete COVID-19 vaccination, consisting of boosters, as an important task function. UnitedHealth Group complies with all federal, state and regional COVID-19 vaccination policies along with all customer COVID-19 vaccination requirements and will get the required details from prospects prior to work to guarantee compliance. Prospects should have the ability to carry out all necessary task functions with or without affordable lodging. Failure to satisfy the vaccination requirement might lead to rescission of a work deal or termination of work.
Careers with USMD. If you’re concept of a fantastic day at work includes putting terrific originalities to work, we need to talk. Throughout the higher Dallas location, we’ve constructed a developing, incorporated healthcare design that brings medical care and expert service providers 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 medical facilities, centers and companies 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 senior citizens. Through the WellMed Care Model, we concentrate on assisting our clients remain healthy by offering the care they require from physicians who appreciate them. We partner with several Medicare Advantage health insurance in Texas and Florida and eagerly anticipate continuing development.
Diversity develops 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, safeguarded seasoned status, special needs status, sexual preference, gender identity or expression, marital status, hereditary info, or any other particular secured 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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