Coding Quality Analyst - National Remote

Company: UnitedHealth Group
Location: San Antonio
Posted on: November 26, 2022

Job Description:

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Energize your career with one of Healthcare's fastest growing companies. - - You dream of a great career with a great company - where you can make an impact and help people. - We dream of giving you the opportunity to do just this. - And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healthcare companies, -UnitedHealth Group -is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. - We live for the opportunity to make a difference and right now, we are living it up. This opportunity is with one of our most exciting business areas: -Optum -- a growing part of our family of companies that make -UnitedHealth Group -a Fortune 5 -leader. Optum -helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance. Performs Quality Audits focused on medical coding principles and guidelines, as well as operational performance and processes as needed. Extract precise information from documentation, test results, and reports to audit and ensure appropriate codes were assigned. Audit and test ongoing operational processes to assure continued compliance with all requirements regarding coding procedures, practices and internal processing guidelines. This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am and 9:00am CST and end between 3:00pm and 6:00pm CST. It may be necessary, given the business need, to work occasional overtime. *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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
• Ensures accuracy of entry by comparing to outcome of diagnoses on Attestation post validation entry
• 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) OR equivalent experience
  • 3+ years of Coding certification (CPC or CCS or RHIT or RHIA)
  • 3+ years of ICD-10 Coding experience
  • Knowledge in HCC Coding guidelines
  • Technical expertise in ICD-10-CM
  • Intermediate (or higher) skills in MS Office (Word, Excel & Outlook)
  • Ability to work full-time, Monday - Friday between 6:00am - 6:00pm CST including the flexibility to work occasional overtime given the business need
    Preferred Qualifications:
    • Associates Degree (or higher)
      Telecommuting Requirements:
      • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
      • Ability to keep all company sensitive documents secure (if applicable)
      • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
        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 times
          UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status. Military & Veterans find your next mission: -We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at -https://uhg.hr/transitioning-military Learn how Teresa, a Senior Quality Analyst, -works with -military veterans and ensures they receive the best benefits and experience possible. -https://uhg.hr/vet Careers with OptumInsight. Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do -your life's best work.SM Colorado, Connecticut, Nevada or New York City Residents Only: The salary range for Colorado residents is $21.68 - $38.56. The salary range for Connecticut / Nevada / New York City residents is $23.94 - $42.40. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group -is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO#YELLOW

Keywords: UnitedHealth Group, San Antonio , Coding Quality Analyst - National Remote, Accounting, Auditing , San Antonio, Texas