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Coding Education Analyst - Telecommute

Company: UnitedHealth Group
Location: Atlanta
Posted on: November 23, 2021

Job Description:

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)As a key member of the Program and Network Integrity (PNI) Team, you will be part of UnitedHealth Group's mission of helping people live healthier lives. As part of this elite team, you will be empowered to impact the health care system through careful and conscientious documentation and communication of our team's exciting anti-FWA efforts. Program and Network Integrity (PNI) is responsible for anti-fraud, waste, abuse and error (FWAE) activities in the behavioral health services market. This specialized team consists of a variety of individuals with roles and responsibilities to detect investigate and prevent FWAE from occurring. PNI encompasses Special Investigations Unit (SIU) activities as well as expanded efforts to improve the system and function of the organization.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:

  • Create and deliver presentation materials to facilitate provider education.
  • Lead provider education meetings to drive issue resolution, including potential onsite provider meetings
  • Apply principles of adult learning and training best practices to deliver effective and innovative training material.
  • Create supporting materials for learning activities (e.g., agendas, schedules, letters, audio/visual aids, etc.)
  • Leverage/modify existing training solutions to meet current needs
  • Act as a subject matter expert for internal and external partners in the form of assistance with medical coding, documentation requirements based off industry standards.
  • Ensures adherence to state and federal mandates for all coding guidance, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information.
  • Discussing the findings as a collaborative team with UHN advocacy, UHC PPS and analyst before approaching the provider call.
  • Maintaining positive provider and network relationships.
  • Actively owning and resolving issues for Best in Class and / or high profile providers encountered during education session.
  • Analyze data trends prior to education outreach to ensure provider billing errors are addressed in a holistic fashion.
  • Responsible for managing individual workload with a high emphasis on quality
  • Assume additional responsibilities as assignedYou'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:
    • 5+ years of experience as a Certified Coder
    • 5+ years of experience working in the health insurance business, including knowledge of industry terminology, and regulatory guidelines
    • 3+ years providing formal training on medical coding
    • 2+ years of customer service experience
    • Demonstrated written, verbal, analytical, organizational, time management and problem-solving skills
    • Proven ability to work independently
    • Fully proficient with MS products such as Word, PowerPoint and Excel
    • Demonstrated excellent time management, organizational and prioritization skills to balance multiple priorities
    • Experience using interpersonal, influence, collaboration and listening skills for success individually and in a team settingPreferred Qualifications:
      • Bachelor's degree
      • Training Certification
      • CDI Certification
      • Managed care experience
      • Investigational and/or Auditing experience
      • Knowledge of claims platforms
      • Previous clinical work experience with behavioral health
      • Experience with FWAE processes and workflow management tools
      • Ability to prioritize and manage multiple tasks in an ever-changing environment
      • Proven ability to work in a team setting
      • Excellent oral and written communication skills
      • Emotional intelligence
      • Ability to adapt in a dynamic and high-growth environmentUnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.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. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.*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: Coding Education Analyst, Payment Integrity, Provider Education Specialist, CPC, Healthcare Auditing / Coding, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

Keywords: UnitedHealth Group, Atlanta , Coding Education Analyst - Telecommute, Education / Teaching , Atlanta, Georgia

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