HIM Consultant - Telecommute

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)

Optum360, an industry leader in healthcare technology, implementation and consulting services, is adding additional talent to our Health Information Management Consulting team. Ideal candidates will have experience in performing inpatient and/or outpatient ICD-9/10 coding and documentation quality reviews. This is a full time position that would allow employees to see career growth while taking on challenging engagements. The position is predominantly home based with 25% national travel required. RHIA, RHIT, CCS or CPC certification required with a preference for both inpatient and outpatient coding experience.

Primary Responsibilities:

• Reviews records for DRG, APC, ICD-9-CM, ICD-10 CM/PCS, CPT and E/M codes to determine overall coding accuracy and clinical documentation gaps


• Documents all charts reviewed with notes of recommended changes and education opportunities per coder/per facility, using the database tools provided


• Remains knowledgeable of state and national coding issues effecting coders, physicians and overall organization related to reimbursement and/or compliance guidelines


• Discusses coding and documentation issues with appropriate personnel to ensure complete and accurate coding and reimbursement. This may involve advice on querying physicians for the clarification or addition of diagnosis, complications or co-morbid conditions present on an as needed basis


• Lead Kick Off Calls


• Prepares and presents education on coding/documentation/reimbursement issues either face to face onsite or via WebEx

Required Qualifications:

• Ability to do national travel up to 25%


• 5+ years acute hospital coding experience


• Experience leading auditing effort


• Experience with ICD-10 coding 


• RHIA, RHIT, CCS or CPC Certification


• Intermediate level of proficiency in Excel, Access and PowerPoint


• Proficient with problem resolution, collection of relevant health care trend, establish facts, and draw valid conclusions


• Excellent written and verbal interpersonal communication skills


• Strong ability to pay attention to details


• Excellent time and resource management skills


• Ability to work in a fast-paced, team-oriented environment


• Ability to lead educational sessions utilizing WebEx

Preferred Qualifications:

• Bachelor's degree


• 2+ years healthcare consulting experience


• 2+ years project management/leadership experience


• AHIMA Approved ICD-10-CM/PCS Certified Trainer

Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities.

Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.

If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an 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.

Job keywords: Coding Auditor, RHIA, RHIT, CCS, CPC, hospital coding, consultant, consulting, telecommute, work from home