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Inpatient and Hospital Outpatient Coding Compliance Auditor - Telecommute U.S.

UnitedHealth Group


Location:
RANCHO CORDOVA, CA
Date:
12/08/2017
2017-12-082018-01-06
Job Code:
737102
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Job Details

737102 Inpatient and Hospital Outpatient Coding Compliance Auditor Telecommute US

Inpatient and Hospital Outpatient Coding Compliance Auditor - Telecommute U.S. (737102)

Position Description

Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work.(sm)

 

The Inpatient and Outpatient Coding Compliance Auditor will provide expert auditing services across various hospitals for Inpatient and all Outpatient services.  Review documentation and related coding of inpatient and outpatient services, auditing correct assignment of CPT, ICD - 10 - CM / PCS, HCPCs, to verify coding and billing accuracy and that coders base code assignment in a manner consistent with relevant laws, regulations, coding and billing standards. This individual 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 individual will have the expertise to respond to client requests to conduct ad hoc 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
  • Serve as an expert coding resource to client organizations and provide expert coding guidance to other clinical hospital departments
  • Conduct ad hoc coding and billing audits as requested
  • Educate and audit offshore coders and auditors as well as audit and educate new coders 
  • Stay abreast of relevant LCDs, NCDs, billing and coding guidelines concerning the current areas of audit focus
  • Research, develop and present education programs to physicians, coders and management as requested

 

Required Qualifications:

  • Bachelor’s Degree in related concentration such as Health Information Management or Health Information Technology or equivalent experience
  • RHIA or RHIT, CCS
  • 7+ years coding experience
  • 5+ years of audit experience
  • Proficient in application of acute hospital coding guidelines, policies, processes and practices
  • Must maintain active coding credential by obtaining qualifying CEU’s as needed
  • Extensive, current knowledge of acute hospital coding rules, official coding guidelines and policies regarding ICD - 10 - CM / PCS, MS - DRG, and CPT / APC
  • Exceptional technical skills in most software applications such as Excel, Word and Outlook
  • Highly experienced and comfortable in most Electronic Medical Records and encoder / grouper products
  • Comfortable and very experienced in leading remote education and training sessions to a group or individuals while using WebEx and other similar applications

Preferred Qualifications:

  • Experience with computer assisted coding (CAC) products

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: Inpatient and Hospital Outpatient Coding Compliance Auditor, Compliance, Coding, RHIA, RHIT, CCS, Audit, Telecommute, Telecommuter, Telecommuting, Remote, Work from home

Job Details

  • Contest Number737102
  • Job TitleInpatient and Hospital Outpatient Coding Compliance Auditor - Telecommute U.S.
  • Job FamilyRegulatory and Compliance
  • Business SegmentOptumInsight

Job Location Information

  • RANCHO CORDOVA, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionYes
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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