UnitedHealth Group Senior Inpatient Coding Auditor - Telecommute in Bellevue, Washington
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.
As a Senior Quality Analyst you will monitor and support health plan quality improvement initiatives with particular emphasis on compliance with state and federal regulatory and accreditation requirements.
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) The Senior Inpatient Coding Auditor provides auditing services across clients in Inpatient chart types and code sets.
Reviews documentation and related coding, auditing correct assignment of ICD-10-CM and ICD-10-PCS to verify coding and billing accuracy and that coders base code assignment in a manner consistent with relevant laws, regulations, coding and billing standards.
The Senior Coding Auditor will provide education to coders on audit results, utilize expertise to research and respond to challenging coding questions, develop and provide coding education and evaluate audit results to recommend corrective actions.
The Senior Coding Auditor will have the expertise to respond to client requests to conduct ad hoc Inpatient coding and billing audits. Primary Responsibilities: Perform coding compliance and quality audits in support of Optum360's Compliance Program and client expectations Analyze and interpret documentation from medical records Clearly document audit findings and calculate billing error rates Provide feedback and education as appropriate depending on findings Articulate audit findings appropriate for audience.
Prepare written audit reports as needed summarizing audit findings and any corrective action necessary to mitigate risk Conduct ad hoc coding and billing audits as requested Assist client organization with internal or external Compliance reviews Educate and audit offshore coders and auditors as well as audit and educate new coders Stay abreast of relevant Inpatient coding and billing guidelines Research, develop and present education to coders Conduct auditor peer review audits as requested Required Qualifications: 5+ years of Inpatient Coding experience 5+ years of Inpatient Audit experience Certified Coding Specialist (CCS) Familiarity with the revenue cycle as it relates to inpatient coding, auditing and billing Extensive experience with various documentation and Electronic Medical Records Extensive experience in all Inpatient chart types and in high level trauma facilities Industry Knowledge of Medicare regulations and payment policies, including IPPS Preferred Qualifications: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is a plus 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: CCS, RHIT, RHIA, Inpatient Auditor, Inpatient Coder, Telecommute 5f65df93-3735-4c06-ae19-a6c98a9a8cfa
Senior Inpatient Coding Auditor - Telecommute Washington-Bellevue 726050