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Coding Quality Analyst CPC Phoenix AZ - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM
As a part of our continued growth, we are searching for a new Coding Quality Analyst to join our team...
The Coding Quality Analyst is responsible for providing coding and coding auditing services for Providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.
This position is based in our corporate office but will include working with our Physician Partners onsite at Clinic locations within the Maricopa County area: Phoenix, Chandler, Tempe, Buckeye, Deer Valley & Scottsdale
Primary Responsibilities:
- Conducts chart reviews of Lifeprint members - accomplished by traveling to the individual practices and performing the audit onsite.
- Coding of physician documentation for the purposes of risk adjustment utilizing the current ICD-9 Coding guidelines.
- Implement education, and provide formal training to Lifeprint providers and staff as needed regarding coding compliance, documentation guidelines, HCC education and Medicare/Medicaid regulations
- Risk adjustment data validation support.
- Assists the Manager of Clinical Quality & Coding, with research, analysis, and response to inquiries regarding compliance, coding, and inappropriate coding.
- Provide feedback and present solutions, to the Manager of Clinical Coding and Quality, regarding trends or patterns noticed in provider coding.
- Provider coding education and interdepartmental coding education support.
- Create Policy and Procedures to be used within the department to support Best Practices.
Requirements
Requirements:
- A high school diploma or GED (or higher).
- CPC Certification from AAPC
- Managed Care experience
- HCC coding experience for Medicare Advantage
- 3 or more years of Risk Adjustment coding experience.
- Provider education experience
- Must have reliable transportation, valid CA Driver's License and auto insurance.
- Intermediate proficiency with Windows applications, including MS Excel and Word
Assets:
- Knowledge of ICD-10 coding is preferred
- Supervisory experience a plus
OptumHealth 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.
OptumHealth 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 health care 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.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
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.
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.