11 days old

Clinical Coding Business Analyst - Telecommute - 940907

Eden Prairie, MN 55344 Work Remotely
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  • Job Code
    940907

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)

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Think of this as a triple play. You have Fortune 5 global operations. You have a complex, matrix organization with dozens of interrelated business units. And you have a fast-paced, intense culture where everyone is pushing the envelope. Now, you can step into this challenge and help create new business process solutions that raise the performance of our health care system for years to come. As a Business Process Analyst, you'll be in the driver's seat on vital projects that have strategic importance to our mission. If you're ready to play in the big leagues, it's your move.

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You won't be any ordinary Business Process Analyst. You'll be hitting on all cylinders every moment of every day. You will create process design, implement projects, diagnose process improvement opportunities and develop solutions in the quest for better health care. You'll be expected to quickly adapt to change in a very fluid environment and collaborate with multiple stakeholders to agree on solutions.

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

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Primary Responsibilities:

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  • Performs data analysis and validation on vendor coding results
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  • Cross-functional collaboration with multiple teams and functions
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  • Coordinate various projects for the Associate Director Quality Assurance Operations
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  • Responsible for the collection of data, coordination and development of monthly reports on Quality Assurance, Accuracy and Productivity
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  • Assist with maintenance of Job Aids and coordinate annual review and approval
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  • Develop communications that ensure understanding of new or changed directives
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  • Assist with creation and maintenance of Standard Operating Procedures and training materials for department
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  • Assist with validation of data files (import/export)
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  • Assist with validation/reconciliation of reporting metrics
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  • Assist with creation of reports for business leadership
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  • Identify opportunities to streamline processes, improving productivity and quality
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  • Identify potential opportunities for current and future program focus
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  • Maintain up to date knowledge of CMS guidelines and regulations
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  • Perform all other duties as assigned
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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.

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Required Qualifications:

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  • Associate degree or higher (may consider certificate program / completed college coursework with equivalent experience for degree)
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  • Coding Certification (CPC, CCS, CCS - P, or RHIT; the CPC - A is acceptable)
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  • Medicare Risk Adjustment experience (HCC)
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  • Experience in data validation, review, and analysis
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  • Microsoft Office proficiency, Intermediate (Word, Excel, PowerPoint & Outlook)
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  • Willing and able to work on a normal schedule M - F 8am-5pm with the ability to work a flexible schedule to meet business needs and accommodate meetings in various time zones as needed
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  • Up to 5% travel (local, non - local meetings)
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  • Ability to continuously meet the requirements for a telecommuter, i.e. live in a location that can receive a UnitedHealth Group approved high speed internet connection, have a secure designated office space to maintain PHI, meet or exceed all performance expectations
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Preferred Qualifications:

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  • Bachelors degree
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  • CRC (Certified Risk Coder) in addition to required coding certification
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  • 2 + years of coding experience working in a providers office or for a Medicare Advantage health plan
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  • Experience with WebEx or similar virtual meeting tools
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  • Experience with data analysis and reporting
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  • Experience using diagnosis coding data and trends to identify training opportunities
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  • Proficient knowledge of CMS - HCC model and guidelines
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  • Excellent organizational, problem solving, and critical thinking skills
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  • Excellent verbal / written communication and interpersonal skills
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"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)

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Colorado Residents Only: The salary/hourly range for Colorado residents is $53,300 to $95,100. 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, youll find a far-reaching choice of benefits and incentives

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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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.

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UnitedHealth Group is a drugfree workplace. Candidates are required to pass a drug test before beginning employment.

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"Job Keywords: Clinical Coding Business Analyst, Eden Prairie, MN, Minnesota, United States, Work At Home, Remote, Work From Home, Telecommute, Telecommuter, Telecommuting

Posted: 2021-07-15 Expires: 2021-08-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Clinical Coding Business Analyst - Telecommute - 940907

UnitedHealth Group
Eden Prairie, MN 55344

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