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Optum QA Medical Coder- Phoenix, AZ

UnitedHealth Group

Phoenix, AZ
Job Code:
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Job Details

747884 Optum QA Coding Analyst Local Telecommuter Phoenix AZ

Optum QA Medical Coder- Phoenix, AZ (747884)

Position Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)


Primary Responsibilities:

  • Processes attestation sheets and progress notes out of the DataRap work queue according to department guidelines
  • Analyzes progress notes and documentation sent by providers for validation following CMS guidelines and  ICD - 10 Coding Manual guidelines and enters final results into appropriate tab of the DataRAP database
  • Performs the minimum number of validations consistent with established departmental goal
  • Maintain minimum productivity and 95% accuracy rate
  • Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard as identified by no plan
  • Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard of basic administrative components to a progress note
  • Assist in providing feedback to providers through queries and office staff regarding coding guidelines.
  • Ensures accuracy of entry by comparing to outcome of diagnoses on Attestation post validation entry
  • Associates attestation sheets received into the DataRAP database to provide tracking for all markets
  • Identifies and reports quality concerns and errors to DataRAP Clinical Process Quality Analyst for review and education
  • Medical record documentation improvement knowledge requirements
  • Performs all other related duties as assigned


Required Qualifications:

  • High school education or equivalent experience
  • Certification: RHIA, RHIT, CCS, CCS - P, CPC or CRC
  • 2+ years coding experience in ICD - 10 - CM
  • Knowledge in HCC Coding guidelines
  • Technical expertise in ICD - 9 - CM or ICD - 10 - CM
  • Strong attention to detail
  • Ability to perform in a deadline driven environment
  • Ability to maintain professionalism and a positive service attitude at all times
  • Must be able to maintain professionalism and a positive service attitude at all times
  • Ability to analyze facts and exercise sound judgment when arriving at conclusions
  • Ability to effectively report deficiencies with a recommended solution in oral and / or written form
  • Ability and willingness to travel (locally and non - locally) as determined by business need
  • Proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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: RHIA, RHIT, CCS, CCS-P, CPC, CRC, coding, coder, risk adjustment, ICD-10, code, Optum, United Health Group, Phoenix, AZ, Arizona

Job Details

  • Contest Number747884
  • Job TitleOptum QA Medical Coder- Phoenix, AZ
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptumCare

Job Location Information

  • Phoenix, AZ
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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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