UnitedHealth Group
- Dallas, TX
- Permanent
- Full-time
PLEASE NOTE The Sign On Bonus is just offered to external prospects. Prospects who are presently working for a UnitedHealth Group, UnitedHealthcare or an associated entity in a full-time, part-time, or daily basis (” Internal Candidates”) are not qualified to get a Sign On Bonus.
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 examines the quality and efficiency of medical documents procedures by carrying out quality medical record evaluations, helping in the enhancement of the medical paperwork 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 task to offer a requirement of care that fulfills or goes beyond that of a fairly proficient 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 type submission and chart collection activities that close spaces in care
- Partner with the management group, the practice administrative or medical personnel to determine patterns observed and possible methods to support the practice
- Communicate scheduling obstacles 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 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 kind submission and chart collection activities
- Assists with regional IRR audits
- Navigate several 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 tasks as appointed
You’ll be rewarded and acknowledged for your efficiency in an environment that will challenge you and provide 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 examines – capability to evaluate information and supply suggestions for enhancement
- 2+ years as a Certified Medical Assistant
- Experience utilizing Microsoft workplace applications, consisting of databases, word-processing, and stand out spreadsheets
- Knowledge of medical terms
- Expert in computer system literacy in electronic health record
- 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 physician’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 need to likewise abide by those state requirements. UnitedHealth Group will abide by all federal, state and regional guidelines in addition to all customer requirements and will acquire needed evidence of vaccination, and boosters when relevant, previous to work to make sure compliance. Prospects need to have the ability to carry out all vital 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
- Proven capability to coach others
Physical & Mental Requirements:
- Ability to raise to 10 pounds
- Ability to press or pull heavy items 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 guidelines verbally and/or in composing
- Ability to utilize sensible thinking for easy and intricate issue fixing
To safeguard the health and wellness of our labor force, clients and neighborhoods we serve, UnitedHealth Group and its affiliate business need all workers to divulge 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 abides by 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 important 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 WellMed. Our focus is basic. We’re innovators in preventative healthcare, aiming to alter the face of healthcare for elders. We’re affecting 550,000+ lives, mainly Medicare qualified elders in Texas and Florida, through main and multi-specialty centers, and contracted medical management services. We’ve signed up with Optum, part of the UnitedHealth Group household of business, and our objective is to assist the ill ended up being well and to assist clients comprehend and manage their health in a long-lasting effort at health. Our suppliers and personnel are chosen for their devotion and concentrate on preventative, proactive care. For you, that suggests one extraordinary group and a particular chance to do 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 focus on assisting our clients remain healthy by offering the care they require from medical professionals 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, religious beliefs, sex, age, nationwide origin, secured experienced status, impairment status, sexual preference, gender identity or expression, marital status, hereditary details, or any other particular secured by law.
OptumCare is a drug-free work environment. Prospects are needed to pass a drug test prior to starting work.
UnitedHealth Group
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