Data Entry Specialist Hedis Quality San Antonio TX

Unitedhealth Group Inc. San Antonio , TX 78245

Posted 5 months ago

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

WellMed provides concierge - level medical care and service for seniors, delivered by physicians and clinic staff that understand and care about the patient's health. WellMed's proactive approach focuses on prevention and the complete coordination of care for patients. WellMed is now part of the Optum division under the greater UnitedHealth Group umbrella.

The Quality Data Entry Specialist reviews medical records to abstract medical data to support HEDIS/STAR and WellMed defined quality measures. This role will verify, update and maintain health related data per operational standard procedures. The primary focus of the role is to capture all supplemental data available in the Medical Record in order to achieve the highest star score possible.

Primary Responsibilities:

  • Collects data in accordance with HEDIS technical specifications requirements for supplemental data collection

  • Review physician progress and encounter notes and identifies specific documentation related to HEDIS/STAR and WellMed defined quality measures

  • Adheres to specific data entry requirements

  • Verifies patient level account data is acceptable by reviewing, correcting, transmitting, deleting, or reentering specified data

  • Participates in system changes, testing and system upgrades by inputting new data and reviewing output with application development teams

  • Maintains daily productivity standards

  • Faxes request for additional information when needed

  • Performs all other related duties as assigned

This is an office-based position, Oaks IV, 78249 / Office park located at IH 10 East and De Zavala Road.

Required Qualifications:

  • High School Diploma or GED equivalent

  • 2 years of related experience

  • Proficiency with Microsoft Office applications to include Word, Excel and Outlook (required), Power Point (preferred)

  • Medical terminology knowledge

  • Excellent oral and written communication skills

  • Strong attention to detail and excellent organizational skills

  • Must have the ability to multi-task in a fast paced and deadline driven environment

  • Must be able to maintain professionalism and a positive service attitude at all times

  • Ability to facilitate process completion within specific time parameters

Preferred Qualifications:

  • Certified Medical Assistant training or certification

  • 2 years of experience in a physician's clinic or hospital

  • Certified Professional Coder

  • Certified healthcare professional

  • Clinical work experience; especially in primary care settings

Physical and Mental Requirements:

  • Ability to lift up to 10 pounds

  • Ability to sit for extended periods of time

  • Ability to use fine motor skills to operate office equipment and/or machinery

  • Ability to receive and comprehend instructions verbally and/or in writing

  • Ability to use logical reasoning for simple and complex problem solving

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 350,000 lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team 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.

Job Keywords: WellMed, Healthcare, Bilingual, Quality Data Entry Specialist, Medical Records, Data Entry, Medical Office, Clerical, HEDIS, STAR, Coder, CPC, Medical Assistant, MA, San Antonio, New Braunfels, Seguin, Gonzales, Shiner, Yoakum, Boerne, Texas, TX


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Data Entry Specialist Hedis Quality San Antonio TX

Unitedhealth Group Inc.