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Hours Full-time, Part-time
Location Miami, FL
Miami, Florida

About this job


Position Description:


UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm)

Our Product Development and Management groups are vital to our success and are leaders in driving the future growth of UnitedHealth Group. Success in these careers relies on many factors; your ability to deal with ambiguity, your ability to adapt and embrace change, and a long-term commitment to making health care better for everyone. 


Primary Responsibilities:



  • Function as a coding, billing, reimbursement, and regulatory policy subject matter expert (SME) for Optum360.

  • Apply expertise in current coding systems (ICD-9-CM/ICD-10-CM/CPT/HCPCS), reimbursement methodologies, compliance with HIPAA requirements, and operational expertise to provide up-to-date, clear and concise content for all products.

  • Maintain official sources that are a defensible source of information to support product content.

  • Respond to ICD-9-CM/ICD-10-CM/CPT/HCPCS and Medicare questions/queries for internal and external customers.

  • Suggest new product ideation and product enhancements in a timely manner that reflects customer needs and industry standards.

  • Provide New Product SME, Medical Coding Content Development team members, Product Managers, Sales and Marketing with information on healthcare industry changes that impact our business

  • Deliver high quality content, on time and within budget. Responsible for working within project guidelines, leading projects or working collaboratively as a content developer, and meeting schedule deadlines while maintaining the accuracy and integrity of the content.

  • Keep pace with market standards by keeping abreast of regulatory changes, official coding guidelines, and by developing and maintaining relationships with customers and industry experts within and outside of Optum360.

  • Responsible for conducting research to support the creation of new products or product updates by using various avenues such as hard copy reference material (internal & external publications), internet searches inclusive of CMS website, other official websites, list serves, databases, seminar/conference material, interviews, and interactions with customers.

  • Create or update the scope of work i.e., list all components of the product to ensure a cursory review is done, specifically state what components will require updates, and the official resources to be used.

  • Communicate schedule changes and content concerns in a timely manner. Enhance the visibility of Optum360 by conducting presentations or functioning as an expert in panel discussions at professional conferences/seminars at a national, state or local level, by functioning as a contributing editor for professional journals, or by functioning as an advisory board member.

Requirements

Required Qualifications:



  • High School Diploma/GED

  • Must have at least one of the following: CPC, CPC-H, CCS or CCS-P and AHIMA ICD-10-CM/PCS Trainer Certificate 

  • 2+ years of professional writing, editing, intranet and social media (i.e., blogs, pod casting, etc.) experience. 

  • 5+ years of continuous hospital inpatient and outpatient coding

  • Must have recent coding experience within the last 2 years.

  • A working knowledge of billing and reimbursement inclusive of edits, inpatient and outpatient hospital medical record coding and auditing.

  • Must have strong technical knowledge of hospital encoder software

Preferred Qualification:



  • Bachelor's degree

  • RHIT and/or RHIA accreditation

Success Factors:



  • Demonstrated ability to manage and prioritize deliverables.

  • Proven organizational skills with ability to be flexible and work with ambiguity. 

  • Demonstrate ability to understand clinical content of a health record. 

  • Ability to work effectively within a team. 

  • Strong organizational and time management skills. 

  • Good command of the English language.

  • Demonstrated strong writing skills
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.