13 days old

Clinical Quality Analyst - Telecommute in Las Vegas, NV

Las Vegas, NV 89101
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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)


If you are located in the Las Vegas, NV area, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:
  • Performs chart reviews in accordance guidelines with ICD - 10 - CM Official Guidelines and Optum Coding Guidelines
  • Performs a detailed review of medical record to identify clinical indicators
  • Provides expert level review of inpatient clinical records; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the condition and acuity of care provided
  • Provides face - to - face educational opportunities with physicians
  • Utilizes only approved clarification forms
  • Conducts constant follow - up communication with providers regarding existing clarifications to obtain needed documentation specificity
  • Document audit findings in database and / or MS Excel
  • Provides complete follow through on all requests for clarification or recommendations for improvement
  • Provides constant communication with physician when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
  • Reviews and analyzes medical record documentation in accordance with established industry and government regulations, AHA Coding Clinic, and departmental policies and procedures
  • Travel to facilities to perform chart reviews
  • Maintains a 95% quality audit accuracy rate
  • Creates performance improvement plan as needed

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.

Posted: 2020-03-20 Expires: 2020-04-20

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 - Telecommute in Las Vegas, NV

UnitedHealth Group
Las Vegas, NV 89101

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