For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral 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) Primary Responsibilities:Abstract and code complex outpatient and inpatient medical records for psychiatric patients using International Coding of Diseases (ICD-10) Review medical records for appropriate documentation to support ICD-10 codes Properly document codes in the electronic medical record and other systems Assist with coding and billing medical record audits Evaluate medical records for coding completeness and accuracy in conformance with current standards and regulations Provide feedback to physicians to clarify information for coding purposes Establish and maintain processes to effectively code inpatient and emergency psychiatric unit patients Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information Follow up with providers as necessary when responses to queries are not provided in a timely basis Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines Develop training materials for coding and auditing for external partners, stakeholders and internal departments Conduct audits of inpatient professional services to ensure documentation is present for claims to be substantiated and prepares findings Conduct targeted audits of providers with applicable indicators to ensure documentation is present for claims to be substantiated and prepares findings Participate in quality improvement projects and activities Other duties as assigned
Required Qualifications:High School Diploma or higher level of education Certified Coding Specialist (CCS) issued by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) American Association of Professional Coders 2+ years experience in coding Excellent computer skills including experience working with Microsoft Excel, Word, PowerPoint, and Outlook Data entry experience Ability to accommodate some field-based travel within the San Diego county area (up to 25%) Must be able to obtain and maintain access to the County of San Diego's electronic health record, Cerner Community Behavioral Health (CCBH)Preferred Qualifications:Associates Degree or higher level of education Experience coding in the area of psychiatric medicine Experience working in an environment that requires coordination and utilization of multiple groups and resources Quality Improvement experienceCareers 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. Keywords: coder, coding, CPC, CCS, ICD-9, ICD-10, Medicare, Medi-Cal, psychiatric, quality, quality improvement, analyst, fraud, waste, abuse, data analysis, San Diego, CA, California
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.