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, preserving 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 task to supply a requirement of care that fulfills or surpasses that of a fairly proficient and educated 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 medical 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 designated groups so that much better results can be accomplished 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 type submission and chart collection activities
- Assists with regional IRR audits
- Navigate numerous documents systems and acquire medical record areas encouraging of HEDIS/Star steps
- Support chart chase procedure by asking for records from company’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 supply 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 evaluate 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 should likewise adhere to those state requirements. UnitedHealth Group will stick to all federal, state and regional guidelines along with all customer requirements and will acquire essential evidence of vaccination, and boosters when suitable, previous to work to make sure compliance. Prospects need to 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, company, 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 complicated issue fixing
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, a lot 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 places need complete COVID-19 vaccination, consisting of boosters, as a necessary task function. UnitedHealth Group sticks to all federal, state and regional COVID-19 vaccination guidelines along with all customer COVID-19 vaccination requirements and will acquire the required details 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 a fantastic day at work includes putting excellent originalities to work, we must talk. Throughout the higher Dallas location, we’ve constructed a developing, incorporated healthcare design that brings medical care and professional suppliers together to operate in brand-new and much better methods. A flourishing part of OptumCare and the UnitedHealth Group household of business, our multi – specialized group of medical facilities, centers and service providers includes more than 250 doctors and associate professionals. We supply healthcare services to clients in more than 20 various specializeds at our 2 medical facilities, 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 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, safeguarded seasoned 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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