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RN Clinical Coding Nurse Consultant – Fort Worth, TX $3,000 SIGN-ON BONUS!
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Fort Worth, TX Fort Worth, Texas |
About this job
$3,000 SIGN-ON BONUS!!
Must be able to attend training in San Antonio during the week Monday - Friday (will travel home for the weekends) for the first 6 to 8 weeks.
This is an office based position and is not a telecommute role
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(sm)
Clinical Coding Nurse Consultant assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment both within the DataRAP Department and at the market level. This position supports and aligns planning to ensure the key strategic rationale for DataRAP is delivered and the associated revenues and cost savings targets are realized. Responsible for working closely with leaders in all markets to ensure Enterprise initiatives related to DataRAP (Risk Adjustment) are implemented and goals are met. The Clinical Coding Nurse Consultant is imbedded in all markets to provide support and education to all market leaders, Providers and clinic staff. This position identifies, develops and implements simplification and automation to improve the Primary Care Provider (PCP), the market, and ultimately, the member experience.
Essential Job Functions
- Educate practitioners/clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process. Ensure all Market Leaders are utilizing established tools and are able to downstream this education in their prospective markets.
- Work collaboratively with market physician leadership in the development and management, project governance and detailed project plans as it relates to assigned market.
- Partner with corporate leadership to identify the most beneficial options and assist in driving the completion of the selected option.
- Partner with business owners to identify methods to execute upon the key strategic visions and lead the initiative to completion.
- Work with corporate operations to develop program success metrics and ongoing performance metrics.
- Provide strong leadership and judgment; effectively build and deepen relationships across assigned market.
- Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies, establishes collaboration and emphasizes quality and cost
- Provide leadership to and is accountable for the performance and direction through multiple layers of management and senior level professional staff.
- Provides educational tools which may include presentations as assigned by management.
- Review and update educational materials as approved by Leadership.
- Perform Clinical Chart Audits as business needs dictate.
- Perform Quality Audits to ensure error rate remains within industry standard.
- Maintain compliance with Optum coding standards and CMS Risk Adjustment guidelines.
- Performs all other related duties as assigned.
Requirements
- Bachelor's Degree in Nursing required (8 or more years of additional experience beyond the required years of experience may be substituted in lieu of a bachelor's degree) and current RN license in good standing required
- CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders required.
- 5 years of General Clinical experience required.
- Two years of clinical coding experience with strong attention to detail and a high level of accuracy.
- Knowledge of CMS-HCC model and guidelines along with ICD-9/10 and guidelines.
- Ability to speak and provide presentations and education to small and large groups alike
- 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.
- Effectively communicates complex ideas clearly and concisely to internal and external customers
- Able to create, build and maintain relationships in order to improve performance and establish trust and maintain creditability throughout the organization
- Demonstrates effective interpersonal, influence, collaboration and listening skills to address complex situations or issues with a high degree of integrity
- Possess a high tolerance to stress and the ability to handle difficult situations in a confident and diplomatic manner
- Provide leadership, organization and methodology to a project / operations team
- Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities and make changes to work as the project needs dictate.
- MS Office Suite, moderate to advanced EXCEL and PowerPoint skills
Preferred Education, Experience & Skills
- Bachelor's degree preferred
- More than two years coding experience.
- Additional Quality Assurance auditing experience
- Additional Chart Review Experience
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.
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)
Diversity creates a healthier atmosphere: 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.
Keywords: rn, registered nurse, coder, coding, CPC, provider educator, chart review, fort worth, texas, tx
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