Provider Coding Consultant - Eden Prairie, MN or Telecommute - Full-time / Part-time

We're changing the way health care works for the better. That means consulting with our members, partnering with our physicians, and delivering drugs in the most efficient and effective way. Join us and start doing your life's best work.(sm)
 
Provider Coding Consultant must lead data management activities for projects involving various client claim data sets and complex editing studies. They are able to work without close supervision and can coordinate the activities across the team of staff members.
 
Primary Responsibilities:

Working with prospective clients to understand their business and how their claim data will be analyzed
Create client reports in conjunction with the sales with occasional custom projects
Creates all required client documentation required for the study
Ensures accuracy, consistency and quality of deliverables regardless of client data challenges
Acts as Lead for specific client data management projects and interacts with technical staff assigned to work on project. Entails serving as primary contact to manage client expectations and noting and responding to scope or work
Working as primary contact to manage client and sales expectations
Produce final report according to Product Management specifications and assist Product Sales Consultants with presentation of report to client
Contributes to a robust pipeline of new product ideas working closely with product management
Researching, sourcing and editing using the collection of industry standards
Responding to client questions and inquiries about correct coding and reimbursement
Reviewing documented industry standards to verify client specific editing results
Identifying erroneous coding rules and working to resolve these in our system
Document any editing defects and next steps for internal reporting
Providing comparative analysis of industry data
Works with less structured, more complex issues
Serves as a resource to others

Required Qualifications:

B.A./B.S. Degree and/or relevant and applicable work experience
Proven analytical skills
Client facing experience
Strong Excel experience
3-5 years of healthcare claims experience
CPC/CCS certified, or the ability to obtain upon hire
Preferred Qualifications:

RN, RHIT, RHIA experience
SQL experience
1-3 years of reimbursement policy experience
Claims editing and fraud experience
Experience working with large claims data sets
Experience interacting with telecommuting team and/or offshore resources
Thorough knowledge of applicable regulatory rules and guidelines; e.g. CCI, OCE, MCE
Excellent interpersonal and communication skills (written and verbal). Task oriented and ability to manage multiple projects
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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: Provider, Analyst, Claims, CPC, CCS, RHIT, RN, RHIA, SQL, Fraud, Eden Prairie, MN, Minnesota