Coding Quality Analyst - Phoenix, AZ - Telecommute

UHG Phoenix, AZ

About the Job

If you are located in Phoenix, AZ, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
  • Processes attestation sheets and progress notes out of the DataRap work queue according to department guidelines
  • Analyzes progress notes and documentation sent by providers for validation following CMS guidelines and  ICD-10 Coding Manual guidelines and enters final results into appropriate tab of the DataRAP database
  • Performs the minimum number of validations consistent with established departmental goal
  • Maintain minimum productivity and 95% accuracy rate
  • Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard as identified by no plan
  • Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard of basic administrative components to a progress note
  • Assist in providing feedback to providers through queries and office staff regarding coding guidelines.
  • Ensures accuracy of entry by comparing to outcome of diagnoses on Attestation post validation entry
  • Associates attestation sheets received into the DataRAP database to provide tracking for all markets
  • Identifies and reports quality concerns and errors to DataRAP Clinical Process Quality Analyst for review and education
  • Medical record documentation improvement knowledge requirements
  • Performs all other related duties as assigned

Required Qualifications:
  • High school diploma or GED
  • Certification: RHIA, RHIT, CCS, CCS-P or CPC (must have one)
  • 2+ years of coding experience in ICD-10-CM 9
  • Knowledge in HCC Coding guidelines
  • Technical expertise in ICD-10-CM
  • Access to reliable transportation that will enable you to travel to client and / or patient sites within a designated area
Preferred Qualifications:
  • Prior experience as a clinical documentation improvement specialist or inpatient hospital experience
  • Proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system 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)

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.



Job Keywords: RHIA, RHIT, CCS, CCS-P, CPC, coding, ICD-10-CM 9, medical records, Phoenix, AZ, Arizona, telecommute