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Clinical Coding RN - Dallas, Fort Worth and Surrounding Counties
| Hours | Full-time, Part-time |
|---|---|
| Location | Dallas, TX Dallas, Texas |
About this job
Position Summary:
- Reviews member charts at provider office locations with the purpose of identifying ICD-9-CM diagnosis codes and entering into the database.
- Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation reviewed.
- Reviews medical records information and educates providers to ensure the documentation and coding is compliant with standards set by CMS's HCC methodologies and the ICD-9-CM Official Guidelines for Coding and Reporting.
- Performs the minimum number of audits consistent with established departmental goals.
- Performs Quality Improvement (QI) and Education Reviews utilizing audit tools in the DataRAP application as identified by the manager and QI department.
- Supplies provider and staff educational tools which may include presentations as assigned by Supervisor / Manager.
- Performs all other related duties as assigned.
Requirements
- Registered Nurse with current licensure to practice in the applicable state.
- 1 or more years of clinical coding experience with strong attention to detail and a high level of accuracy required.
- CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders required.
- Proficiency with Microsoft Office applications to include Word, Excel and Outlook required.
- Ability to work a flexible work schedule and travel to markets requiring overnight stays.
- Ability and willingness to travel (locally and non-locally) as determined by business need.
- Bachelor of Science in Nursing (BSN) preferred
- Auditing
- Provider education ( highly preferred)
- 10 years of clinical experience highly preferred
WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry leader in medical risk management, highly effective disease management and chronic care programs, healthcare delivery services and more.
Our focus and mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. We are innovators in preventative healthcare, striving to change the face of healthcare delivery for seniors. Our providers and support staff are selected for their dedication to the senior population and focus on preventative, proactive patient care.
WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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