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Fulltime Optum Hcc Coding Jobs in Virginia (NOW HIRING)

TekSky

Superintendent

Richmond, VA · On-site

About the job Company Description HCC General Contractor is one of Virginia's leading healthcare ... Role Description We are seeking a full-time Superintendent to manage and oversee construction ...

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

$120K - $140K/yr

Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC ... Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy.

UnitedHealth Group

Registered Nurse

Martinsville, VA · On-site

$39.18 - $58.76/hr

Full-Time, Part-Time, and Per Diem Roles Available Explore opportunities with Commonwealth Care at ... As members of the Optum family of businesses, we are dedicated to helping people feel their best ...

UnitedHealth Group

Registered Nurse

Martinsville, VA · On-site

$39.18 - $58.76/hr

Full-Time, Part-Time, and Per Diem Roles Available Explore opportunities with Commonwealth Care at ... As members of the Optum family of businesses, we are dedicated to helping people feel their best ...

UnitedHealth Group

Registered Nurse

Petersburg, VA · On-site

$43.53 - $65.29/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Warrenton, VA · On-site

$47.88 - $71.82/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

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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.

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For Fulltime Optum Hcc Coding jobs in Virginia, the most frequently searched job titles are:

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Fulltime Optum Hcc Coding jobs near you

Nurse Practitioner

Richmond, VA • On-site

Browyn Sugar Virtual Solutions LLC
See more jobs at Browyn Sugar Virtual Solutions LLCexternal

$2.0K/wk

Full-time

Medical, Retirement, PTO

Re-posted 25 days ago

Key responsibilities

  • Perform a whole-person clinical assessment, including gathering information from outside sources, assessing behavioral and physical health conditions, and ordering additional studies as needed.

  • Lead the medical component of team-based care by training and advising Guides, supporting care coordination, and identifying actionable care gaps.

  • Make individualized recommendations and/or referrals for programs or care provided by firsthand or outside providers based on the assessed needs.

Job description


Overview
We are building a team of deeply passionate problem-solvers who are courageous enough to take on one of the country's most challenging healthcare problems. Those who are up for the task will be rewarded with deeply mission-oriented workdays, mentorship from a similarly motivated team, and a voice at the table in the earliest stages of business building. The licensed Nurse Practitioner who leads the medical aspects of team-based care for individuals with serious mental illness that we serve. This position is responsible for documenting and supporting the medical needs of the individual, by performing a whole-person clinical assessment to identify and remediate care gaps. On an ongoing basis, this position will support care coordination among the individual's medical and behavioral health providers, making referrals as appropriate, as well as provide clinical support to Guides (peers) and Community Resources Guides (social workers).
  • Job Type: On Site
  • Company: First Hand
  • Location: Richmond, VA 23173
  • Job Type: Full Time (40 hrs/week)
  • Shift Schedule: M-F (possible occasional consultative calls on weekends)

You will:
  • Perform a whole-person clinical assessment, including:
  • Gathering information from outside sources (especially other care providers)
  • Assessing both behavioral and physical health conditions through a thorough history and physical examination
  • Capturing conditions not yet diagnosed, including by ordering additional studies as indicated
  • Organizing the information in a manner that supports successful disability applications (if appropriate)
  • Conducting visits in the field or in an individual's home when needed
  • Making individualized recommendations and/or referrals for programs/care provided by firsthand or outside providers, based on the assessed need.

Lead the medical component of the team-based care provided, including:
  • Training and advising firsthand Guides and Community Resources Guides on clinical issues and treatments
  • Supporting Guide Team on care coordination
  • Leading care management-Identifying actionable care gaps
  • Performing medication reconciliation post-discharge and as needed
  • Communicating and coordinating with individuals' care providers, primarily at CMHCs, FQHCs, and hospitals

REQUIRED RESUME FORMAT
  • Candidate Contact Info
  • Objective
  • Licenses, Certs, etc.
  • Education
  • Work History (Chronologically w/ Most Recent First)

*Resumes not in this format will not be considered*
APPLICANTS MUST HAVE CAREER HIGHLIGHTS IN RESUME
Requirements
  • Master's degree or higher
  • 3+ years of experience in ANY of the following: Primary Care and/or Value Based Care
  • Valid Nurse Practitioner (NP) license in the state of Virginia (VA)
  • Must be okay visiting patients in their homes, since Home visits are a major component of this position.

Preferred
  • HCC Coding experience

You will be a good fit if you have:
  • Empathy, compassion, and approach ability
  • Excellent listening, communication, and interpersonal skills
  • Desire to help people in need and support their path to wellness
  • Comfort working as part of a multidisciplinary team, and enjoying mixed roles and duties - this is a mix of direct service, teaching, and care management
  • Cultural humility, knowledge of trauma informed care, and social determinants of health
  • Desire to perform data driven care
  • Familiarity with local providers
  • Ability to maintain professional boundaries and engagement skills with a population with challenges and in non-traditional work conditions
  • Intermediate computer skills, familiarity with Microsoft Office Suite
  • Driver's license, private auto insurance, and be insurable under firsthand coverage

Benefits
Company benefit design is in line with company values of compassion and empathy:
  • A range of healthcare benefits offerings for yourself and/or your family
  • 401(k) with employer matching program
  • Competitive and flexible paid time off policies
  • Choice of Mac or PC for laptop or tablet as needed.
  • 10% Bonus Potential
  • Incentive - At 36 months guaranteed lump sum payment of $30K plus a $10 base salary adjustment.
  • There is a $2K allowance for continuing education and re-certification.

Apply