Coding Reviewer Jobs in Connecticut (NOW HIRING)

This position is national remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. For all hires in Minneapolis, Virginia, Maryland, or Washington, D.C. area, you will be required to work in the office for a minimum of four (4) days per week.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

Subject Matter expert in Acute Coding that effectively develops and delivers the standardized onboarding education of new hires for the Middle Revenue Cycle Coding Services Operational Team with a focus on Best Practice workflows, Client Coding Guidelines, Baseline Assessments and industry Standard Revenue Cycle topics to expedite a team member to a productive state while fostering a positive learning environment. Provides continuing education supporting medical coders to stay updated with evolving regulations, coding guidelines, and payer requirements, continuing education credits required for professional credentialing maintenance and industry topics for career development. Provides guidance, support, and industry expertise to support the audit and compliance process.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 6:30 am - 3:00 pm CST.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Develop, deliver, and maintain a standardized educational program for the onboarding of new hires within Middle Revenue Cycle Coding Operational Team ensuring a timeline and efficient methodology while achieving Coding Operational strategic organizational objectives
• Develop all educational materials and coding aids for both formal training and use by coders in daily work
• Assist in the oversight, maintenance, and consultative expertise on the centralized content management Learning Community for Acute Coding operations OLC / TI toolset
• Develop and provide educational programs to assist coders in updated regulatory requirements, coding guidelines, payer requirements, and updated coding topics in large group settings, individual settings, and / or focused groups
• Assist with conducting educational programs to assist coders in meeting continuing education (CE) requirements
• Assist with the development of education strategies to improve the success rate of pre-bill and triannual audit scores
• Initiative-taking training engagement based on QA opportunities identified
• Provide educational support for coders following audits through HealthStream assignments, directed study, and / or instructor-led education
• Ability to review and interpret Client Coding Guidelines (CCGs) for training delivery unique to the client
• Identify and evaluate innovative educational methodology that may be appropriate for the targeted audience; incorporate new methodology as appropriate to enhance and update the effectiveness of education and skills development programs
• Serve as a technical resource for all involved personnel; ensure that information is accurate and current, meeting professional coding standards
• Develop and implement a comprehensive educational plan for all coding roles
• Act as a key resource and mentor for others in the coding organization
• Collaborate with resources (e.g., business leaders, instructional designers, SMEs, business leadership) to facilitate development of appropriate learning objectives and curricula
• Ability to work on multiple items / projects at once
• Effective in using relevant computer systems and software (LMS toolset, MS Office)
• Possess strong written, verbal, communication, and presentation skills
• Maintain patient, team member, and employer confidentiality; comply with all HIPAA regulations
• Other duties and responsibilities, not specifically described, may be defined or assigned from time to time, consistent with knowledge, skills, and abilities of the incumbent by management

Required Qualifications:

• High School Diploma / GED
• Professional licenses(s) and / OR certification(s) of acute coding through AHIMA or AAPC (RHIA, RHIT, CCS, COC, CPC, CCS-P)
• Must be 18 years of age OR older
• 3+ years of acute coding experience in large multi-specialty hospital, hospital system, or equivalent health-related organization
• Advanced knowledge of acute coding classifications, coding guidelines, coding conventions, and payment methodologies
• Experience with inpatient hospital coding
• Experience with ICD-10-PCS
• Working knowledge of regulatory developments involving agencies such as CMS, AHA, DHS, and Joint Commission influencing coding practices
• Proficiency with MS Office applications, Middle Revenue Cycle Industry Standard Technologies, and Electronic Health Record (EHR) systems
• Communication skills (both written and verbal)
• Time management, organizational, and prioritization skills and ability to balance multiple priorities
• Ability to establish positive working relationships, effectively manage competing priorities, and accurately complete highly detailed work
• Ability to travel up to 10% of the time (Domestic)
• Ability to work any of our shift schedules during our normal business hours of 6:30 am - 3:00 pm CST from Monday - Friday

Preferred Qualifications:

• Experience in delivering coding education
• Experience with working in a team environment and / or developing teams
• Knowledge of curriculum development and preparation procedures
• Ability to identify and interpret strategic and operational education / development needs
• Ability to contribute to the design, development, implementation, and evaluation of education plans, curricula, and methodology
• Ability to share knowledge in an effective way that enhances learning and application of new skills

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.