Quality Analyst/Clinical Educator for WellMed (RN)- San Antonio, Texas
UnitedHealth Group
San Antonio, TX
Performs quality reviews on DataRAPStaff to ensure the process of validating medical record documentation, as per ICD-9 CM and CMS Risk Adjustment Data Validation requirements, is maintained. Performs quality reviews on documentation from providers participating with WellMed Medical Management risk adjustment model, ensuring ICD-9 CM and CMS Risk Adjustment Data Validation requirements are followed. Accountable for identification of provider, staff and client development an…
Updated in the last 30 days
