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TRICARE DRG Validation Inpatient Coder - Colorado Springs, CO or US Telecommute
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Colorado Springs, CO Colorado Springs, Colorado |
About this job
Position Description:
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. It's an inspiring role and it can inspire your career. Find out more about these opportunities to do your life's best work.sm
We are looking for 1 Inpatient DRG coder with inpatient DRG coding experience to join our Clinical Claim Review team! You will be responsible for providing coding expertise in any of the following areas:
Primary Responsibilities:
Talk about meaningful work. Talk about an important role. Let's talk about your next career move. Our UnitedHealthcare Military & Veterans organization has been selected to provide quality health care services for those who serve our nation. This is an opportunity to share in something special; an opportunity for all of us to serve those families who have made our nation stronger. It's an inspiring role and it can inspire your career. Find out more about these opportunities to do your life's best work.sm
This position will support M&V (Military and Veterans) by performing extensive chart reviews, coding hospital stays to DRG (diagnosis related group), tracking and reporting results and the recovery of overpayments.
We are looking for 1 Inpatient DRG coder with inpatient DRG coding experience to join our Clinical Claim Review team! You will be responsible for providing coding expertise in any of the following areas:
As
a potential government contractor, this position requires U.S. citizenship and
proof of favorable adjudication following submission of Department of Defense
form SF85P.
Primary Responsibilities:
- Reviews pre and post service claims for clinical eligibility for coverage as prescribed by the Plan benefits.
- Review and interpret Plan language.
- Utilizes clinical guidelines and criteria.
- Responsible for accurately documenting determinations.
- Adherence to all confidentiality regulations and agreements.
This position is located in Colorado Springs, CO or can be a work from home, telecommuting opportunity!
Requirements
Required
Qualifications:
- High School Diploma/GED
- CPC or AHIMA certified, (certified professional coder) Inpatient coding experience in the hospital, not outpatient very will versed in DRG inpatient coding
- 1+ year of inpatient coding/DRG (Diagnosis Related Group)
experience - 2+ years of Inpatient and Outpatient experience in
hospital coding - Computer skills, must be able to type and
navigate around a Windows based environment and have a high level of
accuracy with heavy data entry along with Microsoft Word and Microsoft Excel experience - Must have high speed internet access and a landline
- United States Citizenship
- Ability to obtain favorable adjudication following
submission of Department of Defense form SF86 NAC form SF86
Preferred Qualifications:
- Previous Military experience
- Clinical Claims Review experience
- 3M DRG Grouper software experience
- Familiar with Faye Brown and Coding Clinic
software
UnitedHealthcare Military & Veterans is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the (list region post award).
Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.
It's not just business as usual. It is one of our proudest endeavors.
If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth care Military & Veterans.
This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.
Careers at UnitedHealthcare
Military & Veterans. When it
comes to their healthcare, the men and women who help keep the peace deserve
the greatest peace of mind. That's why UnitedHealthcare is the organization
that's called on to serve them and their loved ones. We're all about finding
better ways to help improve their lives no matter where life may take them. So
our career opportunities take challenge to a higher level. If you have a
commitment to quality that mirrors our commitment to the men and women of the
armed forces, take time to learn more about the career paths available here.
It's a genuine 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.
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