Clinical Quality Analyst - Remote in MN or WI

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position provides coding education and direction through the training of providers and coding staff. Will create, design, and deliver education and support based off new and changing correct coding guidelines, third party payer regulations, audit findings, and provider reports.

This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 4:30 pm. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

If you are located in MN or WI, you will have the flexibility to work remotely as you take on some tough challenges.

Primary Responsibilities:

• Serves as a coding resource for providers, coders, and other internal customers. Identifies trends, areas of improvement, and potential compliance issues.
• Reviews compliance findings and performs corrective action plan monitoring.
• Creates provider summaries from audits and provider reports.
• Designs and delivers education and support for providers. Creates, maintains, and communicates coding procedures and billing guidelines in relation to coding and regulatory requirements.
• Other duties 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 Diploma/GED
• Must be 18 years or older.
• 2+ years of Medical Coding experience
• AHIMA or AAPC certified coder - (RHIT, RHIA, CPC, or CCS)
• Ability to work Monday - Friday, 08:00AM - 04:30PM CST

Preferred Qualifications:

• 2+ years of current procedural terminology (CPT) and health care common procedure coding system (HCPCS) experience.
• 2+ years of International Classification of Diseases, tenth revision (ICD-10-CM) experience Licenses/Certifications

Telecommuting Requirements:

• Reside within the state of Minnesota or Wisconsin
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

#RPO