Medical Coding Analyst Fort Worth Texas

Unitedhealth Group Inc. Fort Worth , TX 76102

Posted 2 months ago

Health care isn't just changing. It's growing more complex every day. Because of this hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Medical Coding Analyst validates progress notes and enters the appropriate ICD-9/ICD-10 coding into the DataRAP database utilizing the Centers for Medicare and Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) guidelines. This position is also responsible for timely communication of identified quality issues concerning documentation and validation pertaining to the CMS-HCC methodology and ICD-9 / ICD-10 CM coding guidelines back to the provider.

Please note: THIS POSITION IS OFFICE-BASED. IT IS NOT A TELECOMMUTE ROLE.

Primary Responsibilities:

  • Processes attestation sheets and progress notes out of the RightFax work queue according to DataRAP department guidelines

  • Analyzes progress notes and documentation sent by providers for validation following CMS guidelines and ICD-9 / ICD-10 Coding Manual guidelines and enters final results into appropriate tab of the DataRAP database

  • Performs the minimum number of validations consistent with established departmental goals

  • Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard as identified by "no plan"

  • Provides clear communication, with use of DataRAP application, through query to PCP on documentation not meeting standard of basic administrative components to a progress note

  • Ensures accuracy of entry by comparing to outcome of diagnoses on eAttestation post validation entry

  • Associates attestation sheets received into the DataRAP database to provide tracking for all markets

  • Identifies and reports quality concerns and errors to DataRAP Clinical Process Quality Analyst for review and education

  • Responsible for providing coding support to the DataRAP Clinical Coding Nurses and to the providers participating in the DataRAP process

  • Performs all other related duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School diploma or GED equivalent

  • CPC certification or proof that certification has been obtained within nine months of hire date from the American Academy of Professional Coders

  • Knowledge of ICD-9 / ICD-10 CM guidelines and coding

  • Ability and willingness to travel (locally and non-locally) as determined by business need

  • Proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook

Preferred Qualifications:

  • Some college experience

  • 2 years of medical coding experience with strong attention to detail and a high level of accuracy in a clinical or managed care setting

  • Bilingual in Spanish/English

  • Strong attention to detail

  • Ability to analyze facts and exercise sound judgment when arriving at conclusions

  • Ability to effectively report deficiencies with a recommended solution in oral and / or written form

  • Ability to perform in a deadline driven environment

  • Able to maintain professionalism and a positive service attitude at all times

  • Experience with proprietary medical coding systems

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 240,000 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: cpc, medical coder, ICD-10, coding, M, Fort Worth, Dallas, Texas, ICD-9, CPT


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Medical Assistant I Breast Care Specialist Fort Worth

Baylor Scott & White Health

Posted 2 days ago

VIEW JOBS 2/18/2020 12:00:00 AM 2020-05-18T00:00 The Medical Assistant I performs various patient care duties and prepares patient for examinations and procedures. The Medical Assistant I may assist in cleaning exam rooms and equipment, documentation, laboratory functions, ordering medical supplies, and/or providing other services under supervision of Physician and/or technician. * Prepare patient for examination by assessing condition, taking vital signs, and/or documenting medical record. * May assist Physician and/or technician with procedure(s). * May monitor response to treatment and medication. * Document patient results. * Administer medication and/or injections. May setup IV if necessary. * May perform routine laboratory functions such as obtaining specimens and ordering analysis. * Prepare Examination Rooms by arranging sterile instruments on tray and/or Stocking Rooms with medical supplies. * Clean and maintain Laboratory, Exam Room, and/or other equipment. * Perform quality control procedures on equipment and/or report any issues. * Schedule referral appointments, CT scans, MRI, and/or other procedures. * May educate patient and family regarding plan of treatment or procedure. * Assist with front office duties as needed. The ideal candidate for the Medical Assistant I holds a BLS certification, and have a High School Diploma/GED equivalent. Certified Medical Assistant is preferred for the role. * Breast Care Specialists at Fort Worth * Shift/Schedule - Full-Time; Days * Benefits - Our competitive benefits package includes*: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * PTO accrual beginning Day 1 * Note: Benefits may vary based upon position type and/or level. Qualifications * H.S. Diploma/GED Equivalent required * Basic Life Support (BLS) certification required within 90 days of hire Baylor Scott & White Health Fort Worth TX

Medical Coding Analyst Fort Worth Texas

Unitedhealth Group Inc.