20 days old

Medical Coding Advisor Dallas TX - 943202

Dallas, TX 75201
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  • Job Code
    943202

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm)

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The Medical Coding Advisor serves as the subject matter expert for coding questions related to attestations and progress notes as well as the submission process for all PCPs, processors, PBMs and other network staff in all markets as well as serving as the acting Manager in the Managers absence. Responsible for validating progress notes and entering the appropriate ICD-9 coding into the DataRAP database utilizing the Centers for Medicare and Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) guidelines. The position is also responsible for the timely communication of identified quality issues concerning documentation and validation pertaining to the CMS-HCC methodology and ICD-9CM coding guidelines back to the provider.
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"Primary Responsibilities:

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  • Provides back-up to the Manager as needed during his/her absenceFacilitates education sessions for Primary Care Physicians, Physician Business Managers, and Network coordinators including but not limited to RAPS University
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  • Uploads and maintains frequently asked questions on the company SharePoint site
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  • Analyzes progress notes and documentation sent by providers for validation following CMS guidelines and ICD-9 Coding Manual guidelines and enters final results into appropriate tab of the DataRAP database
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  • Performs validations consistent with established departmental goals. 6. Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard as identified by no plan
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  • Ensures accuracy of entry by comparing to outcome of diagnoses on eAttestation post validations entry. Provides coding support to the DataRAP Clinical Coding nurses, medical coding analysts and to the providers participating in the DataRAP process. 9. Identifies and reports quality concerns and errors
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  • Provides relevant updates utilizing all resource subscriptions
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  • Performs all other related 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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This position does require you to travel in the Dallas area to provider and clinic offices.

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Required Qualifications:

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  • High School diploma or GED equivalent
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  • CPC certification or ability to obtain one within nine months from the American Academy of Professional Coders
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  • 5+ years of coding experience, knowledge of ICD-9 CM guidelines and coding
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  • Experience working directly with providers particularly in training on coding
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  • Proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook
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  • Traveling througout Dallas/Fort Worth market required
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Preferred Qualifications:

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  • 6+ years of coding experience
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  • 1+ years serving in a lead capacity
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  • Able to maintain professionalism and a positive service attitude at all times
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  • Ability to analyze facts and exercise sound judgment when arriving at conclusions
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  • Ability to effectively report deficiencies with a recommended solution in oral and/or written form
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  • Solid attention to detail
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  • Ability to perform in a deadline driven environment
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  • Good communication, writing, and presentation skills
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Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

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WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

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Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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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OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Medical Coding Advisor, Dallas, TX, Texas, cpc, aapc, coder, medical coder, ICD-10

Posted: 2021-07-08 Expires: 2021-08-07

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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Medical Coding Advisor Dallas TX - 943202

UnitedHealth Group
Dallas, TX 75201

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