Surgery Coding Auditor - National Remote

Company: UnitedHealth Group
Location: Orlando
Posted on: September 14, 2023

Job Description:

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.------
As part of our centralized quality assurance team, the Surgery Coding Auditor will be responsible for performing coding quality assurance reviews for our Surgery coders. This will involve being responsible for understanding not only coding guidelines from CMS, AMA and AHA but will also be required to become familiar with client - specific pathways in order to timely and accurately perform Surgery quality assurance reviews. This role will be required to perform in a fast-paced environment and be flexible enough to be able to work independently as well as very closely with other members of the QA team under specific targeted parameters.
This position is full - time, Monday - Friday. Employees are required to work any shift between the hours of 7:00 AM - 4:30 PM (any USA time zone). Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Primary Responsibilities: -

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• Perform Surgery coding quality assurance reviews on all clients and coders monthly and/or quarterly in a Microsoft Excel - based tool
  
• Helps identify and document coding trends to provide continuous preemptive education requests for clients and employed resources
  
• Be responsible for understanding all client pathways
  
• Work with management to fulfill requests for education sessions for issues found during monthly quality audits, as issues are found, and within the same month as audit to prevent further poor quality from resources
  
• Responsible for completing tickets from clients and coding staff as quickly and efficiently as possible
  
  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.Required Qualifications:
  
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  • High School Diploma / GED (or higher)
    
  • 5+ years of profee hospital based surgical coding experience (e.g., CABG, MAZE, TKR, TURP, TAH, etc.)
    
  • Proficiency with using Microsoft Office applications, including Microsoft Excel and Microsoft PowerPoint
    
  • Certified Professional Coder (CPC) Certification OR equivalent professional certification
    
  • Ability to work any full - time shift between the hours of 7:00 AM - 4:30 PM (any USA time zone) from Monday - Friday
    
    Preferred Qualifications:
    
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    • Quality assurance auditing experience
      
    • Additional specialty - specific certifications
      
      Telecommuting Requirements:
      
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      • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
        
      • Ability to keep all company sensitive documents secure (if applicable)
        
      • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
        
        Soft Skills:
        
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        • Ability to work independently in fast - paced environment
          
        • Ability to meet internal and external targets and deadlines
          
        • Strong decision making, judgment, and analytical skills
          
        • Excellent communication and interpersonal skills
          
        • Must be task orientated and have ability to prioritize multiple projects with competing priorities
          
          California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island Residents Only: -The salary range for California / Colorado / Connecticut / Nevada / New Jersey / New York / Washington / Rhode Island residents is $22.45 - $43.89. 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, you'll find a far-reaching choice of benefits and incentives.
          
          At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
          -
          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.
          #RPO #YELLOW

Keywords: UnitedHealth Group, Orlando , Surgery Coding Auditor - National Remote, Healthcare , Orlando, Florida