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RN Clinical Coding Nurse - $3,000 sign on bonus - Tampa, FL
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Tampa, FL Tampa, Florida |
About this job
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)
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 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. WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella.
Primary Responsibilities:
- Reviews member charts at provider office locations with the purpose of identifying ICD-9-CM diagnosis codes and entering into the database
- Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation reviewed
- Reviews medical records information and educates providers to ensure the documentation and coding is compliant with standards set by CMS's HCC methodologies and the ICD-9-CM Official Guidelines for Coding and Reporting
- Performs the minimum number of audits consistent with established departmental goals
- Performs Quality Improvement (QI) and Education Reviews utilizing audit tools in the DataRAP application as identified by the manager and QI department
- Supplies provider and staff educational tools which may include presentations as assigned by Supervisor / Manager
- Performs all other related duties as assigned
Requirements
Required Qualifications:
- Registered Nurse with current licensure to practice in the applicable state
- 1+ years of clinical coding experience with strong attention to detail and a high level of accuracy
- CPC certification or proof that certification has been obtained within 9 months from the American Academy of Professional Coders
- Proficiency with Microsoft Office applications to include Word, Excel and Outlook
- 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
- This position requires AHCA level II background checks (fingerprinting) by the state of FL for all clinicians that have face to face contact with members or employees who have access to confidential patient data and will require renewal every five years
Preferred Qualifications:
- Bachelor of Science in Nursing (BSN)
- Auditing
- Provider education ( highly preferred)
- 10+ years of clinical experience
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.
Job Keywords: Registered Nurse, RN, Clinical Coding, CPC, Tampa, FL
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