Medical Coding Educator - Hybrid in Albuquerque

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Compassion is the essential trait that drives superior health care performance. But it's just a start. At OptumCare innovative thinking is just as important. Our unique team of health care providers are an emerging and important part of Optum and the UnitedHealth Group family of businesses. Our approach is designed to help physicians and other providers deliver the right care at the right time in the right setting. That takes smart ideas and incredible teamwork. And that's where you come in. In this role, you'll support a clinical team that's helping patients in new and better ways while giving them a generous helping of compassion and respect.

You’ll need to be able to work in multiple locations, while managing multiple priorities. You’ll find the pace fast and the patient - centered environment inspiring.

If you are located in Albuquerque, NM, you will have the flexibility to telecommute,* as well as work in the office as you take on some tough challenges.

Primary Responsibilities:

• Educate providers on the CMS - HCC Risk Adjustment program and the necessary documentation and coding requirements
• Visit with assigned provider offices regularly to perform onsite chart reviews, and assist with attestation process
• Routinely consult with medical providers to clarify missing or inadequate record information to determine appropriate diagnostic codes
• Utilize analytics to identify providers in need of improvement, and conduct education and training to providers and staff regarding coding and documentation standards
• Monitor trends in the data and develop plan of action to improve provider coding
• Develop and present coding presentations and training to large and small groups of clinicians, practice managers, certified coders, and auxiliary staff
• Partner with network managers, medical directors, nurses, office staff and coders on a wide scope of Risk Adjustment education efforts
• Conduct multiple trainings each month for market providers and staff, including attendance at Risk Adjustment Dinners in evenings for primary care physicians and specialists
• Build and maintain a professional rapport with providers and their staff within the community
• Work in partnership with market Clinical Educator to innovate ways to improve internal and external workflows to better support clinicians
• Strategize with Clinical Educator on monthly remote education opportunities
• Other responsibilities as assigned

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:

• High School Diploma or GED
• Certified Professional Coder with American Health Information Management Association or American Academy of Professional Coders
• 2+ years of clinical experience, either hospital, ambulatory clinic and/or managed care experience
• Experience in presenting to small and large groups
• Knowledge of ICD - 10
• Intermediate proficiency in MS Office (Excel, PowerPoint, Word, and Outlook)
• Access to reliable transportation that will enable you to travel to client or patient sites within a designated area
• 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:

• Bachelor’s degree
• CRC (Certified Risk - Adjustment Coder) or willingness to obtain required certification within the first year in the position

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 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)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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.

Optum is a drug-free workplace. © 2021 Optum. All rights reserved.

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