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in West Valley City, UT

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Hours Full-time, Part-time
Location West Valley City, UT
West Valley City, Utah

About this job

Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. You'll act as a voice for our members, guiding the development of comprehensive care plans that will help others live healthier lives. Here's your opportunity to discover your life's best work.(sm)


 


This Clinical Quality Analyst will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.  The ultimate goal is improvement in coding accuracy across the network.


 


Primary Responsibilities:





  • Creation and implementation of a coding accuracy and improvement program for the Utah market


  • Create and execute the plan for improvement across the UT market


  • Work with network managers, medical director, market leader, stakeholders and other employees to ensure improvement in coding accuracy


  • Focus on improvement via internal and external education, innovative programs and provider engagement


  • Work closely with local teams as well as corporate teams


  • Coding review and education with providers and team


  • Clinical Quality Documentation assessment


  • Work Plans for CDQI


  • Cross-functional collaboration with multiple teams and functions

Requirements

Required Qualifications:




  • High School Diploma/GED or higher education
  • 2+ years experience in a coding or billing role
  • Certification in Coding (AHIMA or CPC)
  • Experience educating others to improve results in clinical coding 

Preferred Qualifications:




  • 2+ years in managed care setting within risk adjustment
  • Experience with provider education

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: Clinical, quality, analyst, coding, AHIMA, CPC, risk adjustment, West Valley City, UT, Utah