UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)
If you live in the state of Louisiana, You'll enjoy the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
- Ability to recognize opportunities to clarify the etiology of symptoms
- Ability to interpret laboratory and radiology results to look for query opportunities
- Ability to interpret medication administration record to look for query opportunities.
- Ability to interpret DME orders to look for query opportunities
- Ability to construct open-ended non-leading written and verbal queries
- Differentiates between compliant and non-compliant queries
- Recognizes opportunities to improve documentation of member’s status of health
- Recognizes standard medical abbreviations used by medical providers
- Recognizes query opportunities inherent in members with a history of CHF, COPD, CKD, or Diabetes
- Ability to communicate with Nurse Practitioners in an effective, non-confrontational manner
- Recognizes situation in which verbal, personal communication with the Nurse Practitioner is more preferred than written communication
- Other duties as assigned within the scope of education and license.
- Maintain current knowledge of the AHIMA practice brief, Managing an Effective Query Process
- Maintain confidentiality of the medical record and other information relevant to the practice of coding and documentation
- Attentive listening skills
- Excellent written and verbal communication skills
- Ability to work independently on clinical note reviews sitting for lengthy periods of time with a high degree of concentration
- Risk Adjustment/ HCC and HEDIS coding knowledge
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
- More information can be downloaded at: http://uhg.hr/uhgbenefits
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Associates Degree
- Valid Licensed Practical Nurse (LPN) in LA
- Basic computer and software skills (e.g. Microsoft Office: Excel/Word, electronic medical record knowledge/use) required
- 3+ years experience in a healthcare setting with practical exposure to health information documentation and coding required
- Risk adjustment / HCC Coding
- Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation.
Preferred Qualifications:
- HEDIS coding experience highly preferred
- Registered Health Information Administrator preferred
- Certified Clinical Documentation Specialist preferred
- Knowledge of federal, LA State, and payer specific regulations, policies and compliance standards pertaining to documentation, coding and billing highly preferred
- Registered Health Information Technician
To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It's where you can do your life's best work.(sm)
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
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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