Sr. Consultant / Hospital Coding Auditor - Telecommute - Full-time / Part-time

As a Senior Consultant you'll provide consulting services to strengthen and improve health care operations that result in stronger financial returns and a healthier health care system. You'll use your strong strategic and business acumen to work closely with clients to define, develop and document business requirements to ensure needs are captured and critical deliveries are executed. This consulting career gives you the opportunity to travel and share in a mission that inspires. You'll see your ideas come to life and your achievements recognized. You won't find tougher challenges. And you won't find smarter people working together to solve them. Join us and start doing your life's best work.(sm)
We are looking for an experienced Senior Coding Consultant as an addition to the Optum Payment Integrity Practice in Optum Payer Consulting.
 
Primary Responsibilities:

Assesses and interprets customer needs and requirements
Project management with scheduling, coordinating and conducting audits and education based on client need & request
Identifies solutions to non-standard requests and problems
Solves moderately complex problems and/or conducts moderately complex analyses
Provide documentation of audit findings, report writing, and presenting audit findings and project deliverables to clients
Assisting clients with case selection for audits and educating clients on systems
Works with minimal guidance; seeks guidance on only the most complex tasks
Translates concepts into practice
Provides explanations and information to others on difficult issues
Acts as a resource for others with less experience
Works directly with customers to define other project requirements, provide assistance to answer questions related to project results
Assist as needed with other Reimbursement Solutions projects
Responsibilities require strong understanding of ICD-10 and CPT concepts, Coding regulations and guidelines, Hospital UB04 and Outpatient claim content, ability to conduct research of varying federal and states Medicaid regulations to determine hospital, ambulatory surgery, and physician provider reimbursement rules. Candidates must also demonstrate excellent data management and data quality skills. 

Required Qualifications:

3+ years’ experience in health care or hospital operations
Any one of the following certifications; RHIA, RHIT, CCS, CPC, ICD-10 Trainer credentials
2+ years professional consulting or client facing experience
Willing to travel up to 50% of time
 
Preferred Qualifications:

Bachelor's Degree or equivalent work experience 
Prior consulting experience
Project/program management experience, including demonstrated ability to lead  multifaceted projects
Demonstrated high level of proficiency in presentation skills to audiences of various sizes
 
 
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.
 
 
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