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Abstractor - US Telecommute or Brentwood, TN - Full-time / Part-time
| Hours | Full-time, Part-time |
|---|---|
| Location | Hartford, CT Hartford, Connecticut |
About this job
Energize your career with one of Healthcare's fastest growing
companies.
You dream of a great career with a great company - where you can
make an impact and help people. We dream of giving you the opportunity to
do just this. And with the incredible growth of our business, it's a
dream that definitely can come true. Already one of the world's leading
Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate
our Service Centers, improve our Service levels and help people lead healthier
lives. We live for the opportunity to make a difference and right now, we are
living it up.
This opportunity is with one of our most exciting business areas:
Optum - a growing part of our family of companies that make UnitedHealth Group
a Fortune 14 leader.
Optum helps nearly 60 million Americans live their lives to the
fullest by educating them about their symptoms, conditions, and treatments;
helping them to navigate the system, finance their Healthcare needs, and stay
on track with their Health goals. No other business touches so many lives in
such a positive way. And we do it all with every action focused on our shared
values of Integrity, Compassion, Relationships, Innovation, and Performance.
The Abstractor
will code abstract clinical data from medical records. The Abstractor will follow and monitor
regulatory changes as they pertain to HEDIS reviews and NCQA guidelines. Perform ongoing analysis of charts for the
appropriate review compliance. Research and resolve assigned abstraction
projects.
Primary Responsibilities:
- Research
and resolution of abstraction projects as assigned. - Perform
ongoing analysis of medical record charts for the appropriate NCQA compliance. - Abstractor
is responsible for meeting daily production goal. - Abstractor
is responsible for meeting and maintaining quality accuracy rates. - Attend
conference calls as necessary to provide information relating to clinical
reviews and compliance - Excellent
organization and problem-solving skills required. - Strong
oral and written communication skills required. - Ability
to use independent judgment - Manage
and impart confidential information appropriately per HIPAA regulations and
company requirements. - Demonstrate
attention to detail - Able
to understand and follow directions - Advanced knowledge of medical record abstraction,
clinical reviews and regulatory requirements. - Advanced knowledge of HEDIS concepts and principles.
Requirements
- High School Diploma/GED.
- Professional Coding experience.
- Must have one of the following Coding Certifications: CPC, CPC-A, CPC-H, CCS, CCS-P, CCA, RHIA or RHIT.
- Previous experience working with Microsoft Office products.
- Knowledge of Coding Guidelines.
- Associate's or Bachelor's Degree.
- Sharepoint experience.
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.
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