Required Qualifications: Undergraduate degree or equivalent experience Must have completed coding certification course, AAPC/AHIMA, or other accredited certifying body, or CPC, COC, CRC, CIMC, CFPC, CPMA, CCS, CCA, CDIP, or RHIT Must possess a CCS, CPC or COC certification4+ years of hands-on medical coding experience, post certification1+ year of hands-on experience with Risk Adjustment HCCs Must have experience auditing charts and consulting with providers on improving documentation and coding Must have working knowledge of billing systems to understand how to identify potential black holes in claims submissions that might be causing lower risk adjustment scores to be reported inaccurately Must have an excellent understanding of medical terminology, disease process and anatomy and physiology Complete Understanding of ICD - 10 - CM coding classification and guidelines Must have Computer skills (i.e. MS Office) Must be task oriented and able to meet designated deadlines, productivity standards and able to work independently Ability to travel locally to provider practices, will be out in field 80% of the time, with rare overnight stay required Must have a dedicated, distraction-free space in home for home officeMust have access to high-speed internet (DSL or Cable) Preferred Qualifications:Bilingual in Spanish, Vietnamese, Korean, and/or Farsi/Persian Supervisory experience Previous consulting or sales experience Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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.SMDiversity 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: risk adjustment, coding, coder, CPC, HCC, COC, CRC, CIMC, CFPC, CPMA, CCS, CCA, CDIP, RHIT, chart audit, ICD10, California, CA, San Jose, Cupertino, Santa Clara, Campbell, Sunnyvale
Internal Number: 752331
About UnitedHealth Group
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.