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Medicare Coding and Quality Consultant - Minnesota or Telecommute

UnitedHealth Group


Location:
Eden Prairie, MN
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1776538
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Job Details


Medicare Coding and Quality Consultant - Minnesota or Telecommute(Job Number:726633)
Description

The Medicare Coding and Quality Consultant is a field-based position responsible for providing expertise in the area of quality and risk adjustment coding for provider clients. A Medicare Coding and Quality Consultant will interface with operational and clinical leadership to assist in identification of operational and clinical best practices in maximizing recapture rates, understanding clinical suspects and monitoring of appropriate clinical documentation and quality coding. He/She will also coordinate implementation of programs designed to ensure all diagnoses are coded according to CMS and risk adjustment coding guidelines and conditions are properly supported by appropriate documentation in the patient chart.

 

Primary Responsibilities:

  • Partner with the Healthcare Advocates in the field to implement prospective programs as directed by Market Consultation leadership

  • Assists providers in understanding the Medicare quality program as well as CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding

  • Assist providers in understanding quality and CMS-HCC Risk Adjustment driven payment methodology and the importance of proper chart documentation of procedures and diagnosis coding

  • Supports the providers by ensuring documentation supports the submission of relevant ICD -10 codes and CPT2 procedural information in accordance with national coding guidelines and appropriate reimbursement requirements

  • Provides ICD10 - HCC coding training to providers and appropriate office staff as needed

  • Provides ICD10 - HCC coding and HEDIS training to market consultation staff as needed

  • Provides subject matter guidance in development of new training materials and collateral for internal and external use

  • Develops and presents coding presentations and training to large and small groups of clinicians, practice managers and certified coders developing training to fit specific provider's needs

  • Develops and delivers diagnosis coding tools to providers

  • Trains physicians and other staff regarding documentation, billing and coding and provides feedback to physicians regarding documentation practices

  • Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices

  • Collaborates with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts

 


Job Network Program Mgmt
Primary Location US-MN-Eden Prairie
Other Location United States, US-Minnesota
Organization RQNS Ops
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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