Risk Adjustment Coder (830169)

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) 

This Risk Adjustment Coder will provide Hierarchical Condition Category (HCC) coding services for outpatient and inpatient charts. This includes the analysis and translation of medical diagnoses with the ultimate goal of improvement in coding accuracy across the network.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Support the OptumCare Utah Care Delivery Organization (CDO) and Mountain West Region (MWR) Coding Team
• Process physician attestation forms and PCP visits at a minimum of 6 charts per hour
• Achieve and maintain coding accuracy of 95%
• Perform inpatient chart reviews for Medical Management (MM)
• Identify HEDIS data and submit referrals for validation
• Build and sustain effective relationships while working closely with manager, coding supervisor, coding team, Mountain West Region, Enterprise Clinical Performance, coding educators and network managers
• Attend internal meetings via WebEx as requested
• Additional projects as assigned

Required Qualifications:

• High School Diploma/GED or higher education
• 2+ years of experience in Risk Adjustment Coding
• Current Coding Certification is required for this position as well as continuing education units (CEUs) to maintain coding credentials – RHIA, RHIT, CCS, CCS-P or CPC (must have one)
• Solve routine problems by following established policies and procedures
• Microsoft Office products: Outlook, Excel, Word
• Ability to work 8:30am-5:00pm MTN

Preferred Qualifications:

• Certified Risk Adjustment Coder (CRC) credentials
• Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines
• Various Electronic Medical Record (EMR) experience
• Experience with Attestations and physician queries
• Familiar with AHA Coding Clinic
• Familiar with systems: DataRAP, Alliance, Facets

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)

*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.

Job Keywords: Risk Adjustment Coder, HCC Coding, Inpatient Coding, Managed Care, Medical Coding, Medical Certification