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UnitedHealth Group

UnitedHealth Group is looking for a Senior Outpatient Coding Auditor – IVR/CVIR – Telecommute  #JobFinderPagosaSprings #JobsHiringNowInPagosaSprings

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)This role will conduct IVR/CVIR audits and other OP chart type audits on client coders and vendor coders. They may also review ICD-10-CM, Evaluation and Management codes, CPT procedure codes and modifiers to assure coding quality and billing accuracy. They will conduct research while auditing and respond to challenging coding/auditing questions. The OP IVR/CVIR Coding Auditor is responsible for providing detailed feedback to coders, based on coding audit results and are expected to identify patterns and trends on summary reports.Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities: Perform OP IVR/CVIR Coding compliance and quality audits in support of Optum360’s Compliance Program Analyze code assignments and interpret documentation from medical records Clearly document audit findings and recommend coder education based on those findings Articulate audit findings appropriate to the audience. Prepare written audit analysis and summary reports, including corrective action necessary to mitigate risk Conduct coding and billing audits as requested Educate and audit onshore and offshore coders and auditors Stay abreast of relevant Outpatient coding and billing guidelines Research and recommend education to coders based on individual and team audit analysis Conduct auditor peer review audits as requested Ability to prioritize multiple assignments and multiple spreadsheets, documents and reports. Serve as a resource to others and be a subject matter expert in the area of IVR/CVIR Youll 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: Interventional Radiology Certified (CIRC) or 5+ years of IVR/CVIR experience and willing to obtain Certified Interventional Radiology Coder Certification within 1 year of employment 5+ years of experience in Interventional Radiology/Cardiovascular Intervention Radiology 3+ years of Professional and Facility Outpatient Coding/Audit experience Knowledge of NCCI/OCE billing edits as it relates to outpatient coding Knowledge of ICD-10 CM and CPT codes relevant to CVIR coding/auditing Experience with various documentation and Electronic Medical Records (Epic, Cerner, etc.) Experience in other Outpatient chart types Experience with Outpatient Coding Credential- Certified Professional Coding (CPC) or other Proficient in Excel If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attainedPreferred Qualifications: Professional verbal and written communication skills Industry Knowledge of Medicare regulations and payment policies, including OPPS CPMA      Additional coding credentials: Registered Health Information Administrator (RHIA) and/or Registered Health Information Technician (RHIT) and/or Certified Coding Specialist (CCS-P)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)Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.*All Telecommuters will be required to adhere to UnitedHealth Groups 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:  Healthcare, CPC, RHIT, CCS, CCS-P, CCS, CIRC, CPMA, IVR, CVIR, Outpatient Auditor, Outpatient Coder, Professional Outpatient Audit, Facility Outpatient Audit, IVR, CVIR, AHIMA, AAPC, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote Recommended SkillsCertified Coding SpecialistRegistered Health Information TechnicianRegistered Health Information AdministratorCertified Professional CoderCpt CodingImplantable Cardioverter DefibrillatorRecommended JobsMedicalMedical Coding SpecialistAtlanta,GaMedical Coding Specialist, Atlanta,GaSenior Outpatient Coding Auditor – IVR/CVIR – TelecommuteUnitedHealth GroupWork From HomeFull Time
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