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Fulltime Optum Hcc Coding information

What is the difference between Fulltime Optum Hcc Coding vs Fulltime Medical Coder?

AspectFulltime Optum Hcc CodingFulltime Medical Coder
CertificationsHCC coding certifications, CPC or CCSCPC, CCS, or similar coding certifications
Work EnvironmentHealthcare insurance, risk adjustment, and clinical data analysisHospitals, clinics, or physician offices
Industry UsageUsed mainly in health plans and risk adjustment programsUsed across various healthcare settings for billing and documentation

Fulltime Optum Hcc Coding specialists focus on risk adjustment and HCC coding within health insurance and managed care environments, often requiring specific risk adjustment certifications. In contrast, Fulltime Medical Coders work across diverse healthcare settings, focusing on accurate billing and documentation using various coding certifications. Both roles require strong coding skills but differ in their primary focus and work environment.

Is fulltime Optum HCC coding a good career?

Fulltime Optum HCC coding involves medical coding for hierarchical condition categories, which is a growing field due to the increasing focus on risk adjustment in healthcare. It offers stable employment opportunities, requires attention to detail, and often benefits from certification such as CPC or CCS. The role can provide a steady income and career advancement in healthcare administration and coding environments.
What are popular job titles related to Fulltime Optum Hcc Coding jobs in Connecticut? For Fulltime Optum Hcc Coding jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Fulltime Optum Hcc Coding jobs in Connecticut look for? The top searched job categories for Fulltime Optum Hcc Coding jobs in Connecticut are:
What cities in Connecticut are hiring for Fulltime Optum Hcc Coding jobs? Cities in Connecticut with the most Fulltime Optum Hcc Coding job openings:
Fulltime Optum Hcc Coding jobs near you

Coding Auditor - Corporate Compliance

Saint Francis Health System

New Haven, CT • On-site

$27.25 - $31/hr

Full-time

Posted 11 days ago

Saint Francis Health System (Oklahoma) rating

6.9

Company rating: 6.9 out of 10

Based on 117 frontline employees who took The Breakroom Quiz

453rd of 887 rated healthcare providers

Job description

Current Saint Francis Employees - Please click HERE to login and apply.
Full Time
Days
This position is eligible for remote for qualified candidates.
Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits.
Minimum Education: High School Diploma or GED. Bachelor's degree in Healthcare Administration or Business Administration, preferred.
Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
Work Experience: Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience. Hierarchical Condition Categories (HCC) experience, preferred.
Knowledge, Skills and Abilities: Computer skills, including use of Electronic Health Records, auditing, and coding software. Demonstrated ability to audit Current Procedural Terminology (CPT) and Interventional Classification of Diseases, Tenth Revision (ICD-10) coding related to charting and billing utilizing knowledge obtained by coursework with subsequent certification and/or sufficient specialized, related experience to demonstrate advanced knowledge of coding to perform audits. Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner to achieve goals. Uses good judgment in determining documentation sufficiency and how to best educate physicians and other providers of opportunities for improvement. Demonstrated understanding of complexities of office workflow and billing requirements. Ability to be an engaged team member and to provide value added service to all. Demonstrates flexibility in accomplishing challenging assignments.
Essential Functions and Responsibilities: Conducts coding audits of documentation of physicians and non-physician practitioners to assure compliance with documentation guidelines and the appropriate selection of CPT procedure codes and ICD-10 diagnosis codes. Communicates results of audit findings with manager, physicians, and medical director. Develops and delivers coding education specific to the needs of the requesting physicians and office staff. Collaborates to resolve patient complaints due to coding issues and in assurance of payment for services of denied services due to coding issues. Assists in review and analysis of documentation requests for audits performed by external regulatory bodies and insurance companies.
Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from a supervisor.
Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Corporate Compliance - Yale Campus
Location:
Tulsa, Oklahoma 74136
EOE Protected Veterans/Disability

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About Saint Francis Health System

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Saint Francis Health System is an integrated, medically based, not-for-profit health system. Our team of over 10,500 physicians and staff members makes us one of Tulsa's largest employers. As a Catholic organization, Saint Francis is true to its mission and values. We believe that healthcare is a basic human right, and that each patient should be treated with dignity and integrity. We foster a collaborative workplace where each person is valued and appreciated for his/her contribution.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Tulsa, OK, US

Year founded

1960

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