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Coding Quality Analyst

Coding Quality Analyst

UnitedHealth GroupMinneapolis, MN, US
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Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start  Caring. Connecting. Growing together.

The Coding Quality Analyst provides coding and coding auditing services. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The Coding Quality Analyst is the next step of the coding process and ensures that valid Hierarchal Coding Conditions are being presented to our clients and to CMS. Intense focus, attention to detail, and due diligence are paramount for this role.

You will enjoy the flexibility to telecommute

  • from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities :

  • Perform a detailed review of medical records to ensure the ICD-10-CM code(s) was coded correctly during the coding and / or auditing process
  • Processes attestation sheets and progress notes out of the proprietary software work queues according to department guidelines
  • Performs the minimum number of validations consistent with established departmental goal
  • Identifies and reports quality concerns and errors to management for review and education
  • Performs all other related duties as assigned
  • You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications :

  • High School Diploma / GED (or higher)
  • Active and unrestricted Coding Certification (CPC or CCS or RHIT or RHIA)
  • 1+ years of ICD-10 coding experience
  • Intermediate level of knowledge of HCC Coding guidelines
  • Intermediate level of proficiency in MS Office (Word, Excel & Outlook)
  • Preferred Qualifications :

  • Outpatient Coding experience
  • Physician's office / hospital experience
  • Experience with Natural Language Processing (NLP) technology
  • Compliance with accuracy requirements
  • Technical expertise in ICD-10-CM
  • Soft Skills :

  • Strong attention to detail
  • Ability to perform in a deadline driven environment
  • Ability to maintain professionalism and a positive service attitude at all time
  • All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
  • Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

    Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

    Application Deadline :   This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

    At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

    UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

    UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

    #RPO, #GREEN

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    Quality Analyst • Minneapolis, MN, US

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