UnitedHealth Group
- Dallas, TX
- Permanent
- Full-time
PLEASE NOTE The Sign On Bonus is just readily available 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 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 medical documents procedure, recognizing 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 responsibility to offer a requirement of care that fulfills or goes beyond that of a fairly skilled 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 recognize patterns observed and prospective 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 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 several paperwork systems and get medical record areas helpful 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 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 be successful 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 evaluates – 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 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 physician’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 abide by those state requirements. UnitedHealth Group will comply with all federal, state and regional policies along with all customer requirements and will get required evidence of vaccination, and boosters when relevant, previous to work to make sure compliance. Prospects should have the ability to carry out all important 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 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, company, 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 mean 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 rational thinking for basic and complicated issue resolving
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 divulge COVID-19 vaccination status prior to starting work. In addition, some functions and places need complete COVID-19 vaccination, consisting of boosters, as an important task function. UnitedHealth Group follows all federal, state and regional COVID-19 vaccination guidelines along with all customer COVID-19 vaccination requirements and will get the required details from prospects prior to work to make sure compliance. Prospects should have the ability to carry out all important task functions with or without affordable lodging. Failure to fulfill the vaccination requirement might lead to rescission of a work deal or termination of work
Careers with WellMed. Our focus is easy. We’re innovators in preventative healthcare, making every effort to alter the face of healthcare for senior citizens. We’re affecting 550,000+ lives, mostly 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 picked for their devotion and concentrate on preventative, proactive care. For you, that indicates one unbelievable 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 elders. Through the WellMed Care Model, we concentrate on assisting our clients remain healthy by supplying 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 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 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 office. Prospects are needed to pass a drug test prior to starting work.
UnitedHealth Group
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