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  • Irvine, CA

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Senior Coding Project Specialist - Irvine, CA

UnitedHealth Group • Irvine, CA

Posted 24 days ago

Job Snapshot

Healthcare - Health Services
General Business, Health Care

Job Description

Coding expertise and compliance is essential for the future of health care. At UnitedHealth Group, you’ll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your coding expertise to help change the future of health care. Does this challenge intrigue you?

As a key member of the Risk Adjustment Coding Team, you will be part of UnitedHealth Group’s mission of helping people live healthier lives. As a Senior Coding Project Specialist, you will grow and develop as you conduct and manage risk adjustment projects. As part of this elite team, you will be empowered to impact the health care system through the review of medical records for compliant documentation and accurate coding. Join us! There’s never been a better time to do your life’s best work.(sm)



Primary Responsibilities:

  • Oversee and manage Risk Adjustment projects as assigned by the Director of Coding, Risk Adjustment

  • Audit and assign ICD coding to chart notes and ensure compliant clinical documentation as per Official ICD-10 Coding Guidelines

  • Support short and long term operational/strategic business activities through analysis

  • Develop recommended business solutions through research of coding data

  • Provide coding education to primary care physicians and specialists within the network

  • Travel to various offices in Orange County and Long Beach, CA

Required Qualifications:

  • Certified Coder with AHIMA or AAPC

  • 5 years coding experience in either an Inpatient or Outpatient setting

  • 3 years of Risk Adjustment / HCC payment methodology experience in a Healthcare setting

  • Experience with Project Management

  • Experience with process improvement, workflow, benchmarking and / or evaluation of business processes

  • Intermediate skill level with Excel

  • Reliable automobile transportation (20% of travel) 

Preferred Qualifications:

  • Bachelor’s degree in Business, Finance, Health Administration, related field or equivalent work experience

  • Managed Care experience

  • Excellent organizational and communication skills

  • Ability to problem solve and identifying issues within data flow 

What's the first thing that happens when one of the most successful physician groups in Orange County comes together with a global leader in health care? Opportunity. With Monarch HealthCare joining OptumCare and the UnitedHealth Group family of companies, people like you will find increasing levels of challenge, impact and professional success. With a vibrant network of hospitals and urgent care centers, we're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. Are you with us? Learn more about this exciting 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: Coding, risk adjustment, HCC, certified coder, ICD-10, AHIMA, AAPC, healthcare, project manager, process improvement, managed care, audit, data flow, Excel, Irvine, CA, California

Job ID: 2551_709004
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