Provider Coder Trainer/Healthcare Market Consultant - Central Florida - Full-time / Part-time

What makes your Network career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting.

 

Functioning independently, traveling within Florida the Senior Provider Coder Trainer/Market Consultant will meet with assigned provider groups to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. Train providers on our Risk Adjustment and Quality programs and tools, and work toward the adoption of these programs in to their practices.

 

Utilizing data analysis, identify and target providers who would benefit from our Medicare Risk Adjustment training and documentation/coding resources.

Educate providers on how to improve their Risk Adjustment Factor (RAF) scores and Quality metrics, which measure their patients' health status.

 

Reach out to physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships. Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts.

 

Develop comprehensive, provider-specific plans for accurate reporting of chronic conditions.

 

This role is also responsible for the following:

 

-Provide ICD9 and ICD10 HCC coding training as requested by Market Consultative team

-Assist Market Consultants in managing provider relationships as related to CMS--HCC Risk Adjustment payment methodology, proper chart documentation, and diagnosis coding to revenue

-Deliver certification classes to coders

-Perform analysis and provide formal feedback of physician charts and coding

-Present information to external physicians regarding practices and programs

-Develop and deliver diagnosis coding tools to providers

-Develop and present coding presentations to large and small groups of clinicians, practice managers and certified coders.  Including, but not limited to 4 hour coding CEU certification course.  Training can include custom programs specific to provider's needs.

-Attend client meetings whenever a coding expert is required

-Attend and participate in internal coding forum discussions as scheduled

-Work collaboratively with the Clinical Team in development of disease specific training education and tools

-Participate in various courses (WebEx, live, self-paced, ULearn) to enhance skills as an expert consultant (i.e. communication, time management, negotiation tactics, influencing people, organization agility, presentation skills, technical learning)

-Maintain Coder certification

-Travel to perform coding training within one market North, Central or South Florida

-Field time may also be defined as completing provider visits either independent of or in collaboration with Market Consultants performing duties described above in primary responsibilities

-Field time may be required to conduct meetings equivalent to those that market consultants perform to engaged provider groups on various documentation and coding tools and programs

-Functioning independently, travel within Florida to meet with assigned Provider groups to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members.

-Utilizing data analysis, identify and target providers who would benefit from our Medicare Risk Adjustment training and documentation/coding resources.

Educate providers on how to improve their Risk Adjustment Factor (RAF) scores and Quality metrics, which measure their patients' health status.

-Reach out to physicians, medical groups, IPAs and hospitals, to build positive, long-term, consultative relationships.

-Develop comprehensive, provider-specific plans for accurate reporting of chronic conditions.

-Train providers on our Risk Adjustment and Quality programs and tools, and work toward the adoption of these programs in to their practices.

-Collaborate with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts.

 

 

Keywords:  ICD-9, ICD-10, CPC, Coder, Trainer, Healthcare, Managed Care, Sales, Provider Network, Medicare, Medicare Risk Adjustment

 

Required qualifications:

- Bachelor's degree or equivalent experience (preferably in Healthcare or relevant field)

- 2 or more years of experience giving presentations

- 2 or more years of experience in ICD9 coding, reimbursement and health information technology

- Three or more years of Field Sales Experience (Preferred) and/or Network Management, Contracting, Sales or Consulting experience

Knowledge of Managed Care and Medicare programs and guidelines

Ability to Develop Long Term Relationships

Excellent Oral & Written Communication Skills (Experience giving group presentations)

Advanced proficiency in MS Office (Excel, PowerPoint and Word)

 

Preferred Qualifications: 

HEDIS and CMS Stars Rating background preferred

Master's degree

 

 

Optum is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

 

If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Optum.

 

We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services. As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.