14 days old

Clinical Quality Analyst - Corpus Christi, TX

Corpus Christi, TX 78401
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  • Job Code
    861458

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 

The Clinical Quality Analyst is expected to work directly with Physicians and Advanced Practice Clinicians to proactively review medical records and other clinical documentation to identify possible risk adjustment codes. The Major focus of the Clinical Quality Analyst will be to collect and review documents to support physician's healthcare management and the company's quality and risk adjustment initiatives.

 
Primary Responsibilities:
  • Review medical record documents and other clinical documentation in provider's charts to identify possible risk adjustment codes
  • Evaluate and provide feedback to improve performance of clinic staff with DataMining techniques
  • Manage multiple provider office reviews simultaneously and collaborate with supervisor and office administrator to ensure clarity of review and to allow feedback from the provider office
  • Track, report, and monitor submissions using quality program forms, processes, and returned request for information, as well as, Data Raps, and progress reports
  • Coordinate with supervisor to develop and present reports of medical record reviews to present to physician's office staff
  • Progress relationship with Providers office to allow on-site screening if required in order to help physician meet quality program goals and potential need for RAP initiatives in each office
  • Analyze errors in submission sent to quality department by physician office and notify supervisor for process improvement plan
  • Ability to multi-task in a fast paced and deadline driven environment
  • Maintain professionalism and a positive service attitude at all times
  • Effectively report data, facts and recommendations in oral and / or written form
  • Analyze facts and exercise sound judgement when arriving at conclusions
  • Performs all other related 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.
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Posted: 2020-03-14 Expires: 2020-04-13

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 Quality Analyst - Corpus Christi, TX

UnitedHealth Group
Corpus Christi, TX 78401

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