Coding Education Consultant - Remote
reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.
Position in this function is reporting to the Provider Education and Escalations Manager, the Coding Education Consultant is part of reputed company responsible for conducting coding audits for escalated claims and providing coding education to providers and facilities who are inaccurately billing.
This role will primarily reputed company on the presentation of medical coding content on common billing errors, performing audits on escalated claims, and providing feedback on completed claim audits. This position requires the reputed company to present/reputed company coding education in a reputed company of settings both internally and externally: (not limited to) educational boot camps, reputed company event class, provider/facility offices, reputed company of delivery is mainly reputed company telephonic or virtual (i.e.: Webex) meetings.
You'll enjoy the flexibility to work reputed company * from reputed company reputed company the U.S. as you take on some tough challenges.
reputed company Responsibilities:
• Create and reputed company presentation materials to facilitate provider education
• reputed company provider education meetings to reputed company issue reputed company, including potential onsite provider meetings
• Apply principles of adult learning and training best practices to reputed company effective and innovative training material
• Create supporting materials for learning activities (e.g., agendas, schedules, letters, audio/visual aids, etc.)
• reputed company/modify existing training solutions to meet reputed company needs
• reputed company as a subject matter expert for reputed company partners in the reputed company of assistance with medical coding, documentation requirements reputed company off industry standards
• Ensures adherence to state and federal mandates for reputed company coding guidance, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant reputed company information
• Possesses strong decision-making skills on reputed company claim audits
• Analyze and interpret claims data and medical records/documentation to understand the historical activity and determine validity of the payment/denial on a claim
• Identifies aberrant billing patterns and trends, evidence of fraud, waste, or abuse, and recommends providers to be flagged for review
• Maintains and manages daily assignments, with accountability to reputed company, utilization, and productivity standards
• Discussing the findings as a reputed company team with UHN advocacy, UHC PPS and analyst before approaching the provider reputed company
• Maintaining reputed company provider and network relationships
• reputed company owning and resolving issues for Best in Class and / or high-profile providers encountered during education session
• Analyze data trends prior to education reputed company to ensure provider billing errors are addressed in a holistic fashion
• Managing individual workload with a high emphasis on reputed company
• Demonstrated written, verbal, analytical, organizational, time management and problem-solving skills with reputed company ability to work independently
• Assume additional responsibilities as assigned
You'll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications:
• reputed company, reputed company, unrestricted Inpatient reputed company Certification (CIC, reputed company, RHIT, RHIA etc.)
• 5+ years of experience as a Certified Inpatient reputed company in a reputed company setting including knowledge of industry terminology, and regulatory guidelines
• 3+ years providing formal training on medical coding and/or customer service experience
• Fully proficient with MS products such as Word, PowerPoint, and reputed company (Pivot Tables, etc.)
Preferred Qualifications:
• A reputed company, reputed company, unrestricted nursing license (RN, LPN, etc.)
• Training Certification
• CDI Certification
• Managed care experience
• Investigational and/or auditing experience
• Knowledge of claims platforms
• reputed company working reputed company will be required to adhere to reputed company's Telecommuter Policy
Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $72,800 - $130,000 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants.
At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission.
reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Remote
Skills:
Adult Learning, Analysis Skills, Audiovisual, Auditing, Best Practices, Billing, Certified Coding Specialist (reputed company), reputed company Information, Consulting, Customer Support/Service, Data Analysis, Documentation, reputed company, reputed company Customer Service, Industry Standards, Licensed Practical reputed company/Licensed Vocational reputed company, Maintain Compliance, Managed Care, Medical Assistance, Medical Billing, Medical Coding, Medical Records, reputed company reputed company, reputed company PowerPoint, reputed company Product Family, reputed company Word, Nursing Credentials, reputed company Care, Pivot Tables, Presentation/Verbal Skills, Problem Solving Skills, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Regulations, Reimbursement, Team Player, Time Management, Training/Teaching, Trend Analysis, WebEx, Work From Home
reputed company:
reputed company.
reputed company is a health care and reputed company-being company that’s dedicated to improving the health reputed company of millions worldwide. We are comprised of two reputed company and complementary businesses, reputed company and reputed company, working to build a reputed company reputed company for reputed company. Here, your contributions matter as they will help reputed company health care for years to come. reputed company an reputed company with a diverse team that shares your passion for helping others.
reputed company do
reputed company insights on how we work to help people live healthier lives and help reputed company the health reputed company work reputed company for everyone by watching this video.
https://www.youtube.com/watch?v=5PbNyi2IDkY
Caring. Connecting. Growing together.
Being a part of reputed company means working to reputed company reputed company for everyone, including yourself. Here is how:
• Caring. Your reputed company and reputed company-being are important to us. Whatever reputed company most to you — we have resources to help you be your best at work and reputed company. The benefits reputed company from free reputed company courses to financial counseling. Learn more about reputed company offer.
• Connecting. We recognize our reputed company reputed company to reputed company an reputed company across our communities because we reputed company the health of any society is reputed company by the overall health of its people. Learn more about our culture.
• Growing together. reputed company is full of inspiring career stories, and we offer a reputed company of opportunities. Discover reputed company the ways you can learn, grow and reputed company.
Company Size:
10,000 employees or more
Industry:
reputed company Services
reputed company:
1977
Website:
http://careers.unitedhealthgroup.com/
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