Explore 4 coder jobs from 3 hiring companies in Amery, WI, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

UnitedHealth Group

CPIhealth

M Health Fairview

Remote

Hybrid

Onsite

Job Overview The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2's also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging. Responsibilities<ul><li>Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.</li><li>Actively participates in creating and implementing improvements.</li><li>Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines.</li><li>Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.</li><li>Extracts required information from electronic medical record and enters encoder and abstracting system.</li><li>Follows-up on unabstracted accounts to assure timely billing and reimbursement.</li><li>Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines.</li><li>Meets departmental productivity and quality standards</li><li>Complete projects as assigned.</li><li>Timely and accurate work</li><li>Contributes to the process or enablement of collecting expected payment</li><li>Understands and adheres to Revenue Cycle’s Escalation Policy.</li></ul>Required Qualifications<ul><li>Certificate program in Coding or A.A./A.S. in HIM or Certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle)</li><li>1 year of coding experience</li><li>Basic knowledge of Windows-based computer software. Epic and Microsoft Teams.</li><li>Registered Health Info Admin (RHIA) or Registered Health Info Tech (RHIT) or Certified Coding Specialist (CCS) or Professional Coder Cert (CPC) or Certified Coding Specialist – Professional (CCS-P) or Professional Coder- Hospital (CPC-H) or Certified Outpatient Coding (COC) or AAPC specialty certifications</li></ul>Preferred Qualifications<ul><li>B.S./B.A. in HIM</li><li>2 years of coding experience</li></ul> Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: <a href="https://www.fairview.org/careers/benefits/noncontract">https://www.fairview.org/careers/benefits/noncontract</a> Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Coder 2

1 year coding experience; RHIA/RHIT/CCS/CPC or similar certifications; HIM education; basic Windows software knowledge

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTSOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.   We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met.  This is a virtual, remote, position that requires candidates to be highly organized, self-starters, and well-versed in technical applications. Previous success in a remote environment is preferred.We offer 4 weeks of training. The hours during training will be 8:00 AM - 5:00 PM Monday-Friday. Training will be conducted virtually from your home.You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:<ul type="disc"><li class="MsoNormal">Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility</li><li class="MsoNormal">Abstract additional data elements during the Chart Review process when coding, as needed </li><li class="MsoNormal">Adhere to the ethical standards of coding as established by AAPC and / or AHIMA </li><li class="MsoNormal">Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 </li><li class="MsoNormal">Provide documentation feedback to providers and query physicians when appropriate </li><li class="MsoNormal">Maintain up-to-date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc.</li><li class="MsoNormal">Participate in coding department meetings and educational events </li><li class="MsoNormal">Review and maintain a record of charts coded, held, and / or missing </li></ul>What are the reasons to consider working for UnitedHealth Group?   Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:<ul type="disc"><li class="MsoNormal">Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li><li class="MsoNormal">Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li><li class="MsoNormal">Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage</li><li class="MsoNormal">401(k) Savings Plan, Employee Stock Purchase Plan</li><li class="MsoNormal">Education Reimbursement</li><li class="MsoNormal">Employee Discounts</li><li class="MsoNormal">Employee Assistance Program</li><li class="MsoNormal">Employee Referral Bonus Program</li><li class="MsoNormal">Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li></ul>More information can be downloaded at: <a href="http://uhg.hr/uhgbenefits" target="_blank" title="http://uhg.hr/uhgbenefits">http://uhg.hr/uhgbenefits</a>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:<ul type="disc"><li class="MsoNormal">High School Diploma/GED (or higher)</li><li class="MsoNormal">Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually</li><li class="MsoNormal">3+ years of Acute Care inpatient medical coding experience (hospital, facility, etc.) </li><li class="MsoNormal">2+ years of experience working in a Level 2 (or higher) trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding</li><li class="MsoNormal">2+ years of ICD - 10 (CM & PCS) and DRG coding experience</li><li class="MsoNormal">Ability to pass all pre-employment requirements including, but not limited to, drug screening, background check, and coding</li></ul>Preferred Qualifications:<ul type="disc"><li class="MsoNormal">Experience working in a Level 1 Trauma center</li><li class="MsoNormal">Cardiothoracic, organ transplant, Complex Gastrointestinal surgery experience</li><li class="MsoNormal">Experience with OSHPD reporting</li><li class="MsoNormal">Experience with various encoder systems (eCAC, 3M, EPIC)</li><li class="MsoNormal">Ability to use a personal computer in a Windows environment, including Microsoft Excel (create, edit, save, and send spreadsheets) and EMR systems</li><li class="MsoNormal">Ability to work the weekly schedule (40 hours / week) including the flexibility to work occasional overtime</li><li class="MsoNormal">Can also code ancillary, emergency department, same-day surgery, and observation charts if needed</li></ul>*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.    **PLEASE NOTE** The sign-on bonus is only available to external candidates.  Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.      Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.   Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.     Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.      At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.        UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.     #RPO #GREEN

Senior Inpatient Facility Certified Medical Coder

3+ years acute care inpatient coding; AHIMA/AAPC certification; 2+ years trauma center and ICD-10 CM/PCS/DRG coding; HS diploma; able to telecommute from US

%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EOptum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start %3Cstrong%3ECaring. Connecting. Growing together.%26nbsp;%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3E%26nbsp;%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EThe Healthcare Advocate serves as a strategic partner to physicians, medical groups, IPAs, and hospitals, supporting accurate documentation and coding practices to ensure a complete and accurate health picture of members across government and regulated lines of business, including Medicare Advantage, Medicaid, and ACA. %26nbsp;This role focuses on improving quality of care, closing gaps in care, and driving performance in Risk Adjustment and Quality programs through education, collaboration, and data-driven strategies.%3C/span%3E%3C/p%3E%3Cp%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EIf you are located in Minneapolis, MN and surrounding areas, you will have the flexibility to work remotely* as you take on some tough challenges.%3C/span%3E%3C/p%3E%3Cp%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3EPrimary Responsibilities:%26nbsp;%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAct as a trusted advisor and strategic partner to providers and medical groups, assisting in accurate documentation and coding to reflect members’ true health status%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ETravel independently across the assigned territory (approximately 80% field-based, with occasional overnight travel) to engage providers in Optum tools and programs that enhance quality of care for Medicare Advantage members%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EResponsible for gaining participation and deployment of Prospective Programs achieving business goals and metrics%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EUtilize data analysis to identify and target providers who would benefit from coding, documentation, and quality training resources%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEstablish positive, long-term, consultative relationships with physicians, medical groups, IPAs and Hospitals%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDevelop and implement comprehensive, provider-specific plans to improve RAF performance, coding specificity, and gap closure%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EManage end-to-end Risk Adjustment and Quality programs, including In-Office Assessment initiatives%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EConsult with provider groups on documentation and coding gaps; provide actionable feedback to improve compliance with CMS standards%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EOffer guidance on EMR/EHR system issues impacting documentation and coding accuracy.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECollaborate with multidisciplinary teams to implement prospective programs as directed by leadership%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEducate providers on Medicare quality programs and CMS-HCC Risk Adjustment methodology, emphasizing the importance of accurate chart documentation for proper reimbursement.%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ESupport providers in ensuring documentation aligns with ICD-10 and CPT II coding guidelines and national standards%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDeliver ICD-10 HCC coding training and develop tools for providers and office staff%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProvide measurable, actionable solutions to improve documentation and coding accuracy%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPartner with physicians, coders, and facility staff on Risk Adjustment and Quality education efforts%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAssist in chart collection and analysis as needed%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EYou’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.%3C/span%3E%3C/p%3E 
%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3ERequired Qualifications:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E2+ years of experience in a physician office, clinic, hospital, or similar medical setting%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E2+ years of experience with ICD-10, HEDIS, and Stars programs%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E1+ years of experience with EMR systems%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProficiency in MS Office (Excel, Word, PowerPoint) with ability to manipulate data, create documents, and deliver presentations%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProven solid communication skills with ability to engage multiple stakeholders and collaborate across teams%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAbility to be self-driven, goal-oriented, and able to work independently while prioritizing tasks and meeting deadlines%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAbility to travel up to 75% within designated market%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECurrent driver’s license and access to reliable personal transportation%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3EPreferred Qualifications:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECertified Professional Coder (CPC/CPC-A) or equivalent certification%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECRC certification%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E2+ years of clinic/hospital or managed care experience%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ENursing experience (LPN, RN, NP)%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAdvanced proficiency in MS Excel (pivot tables, advanced functions)%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience in Risk Adjustment, HEDIS/Stars, and gap closure initiatives%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProven knowledge of billing, claims submission, and coding software%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProject management experience%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience in provider network management, physician contracting, healthcare consulting, Medicare Advantage sales, or pharmaceutical sales%3C/span%3E%3C/li%3E%3Cli%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ETerritory management experience%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from %2472,800 to %24130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.%3C/span%3E%3Cbr%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EApplication Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.%3C/span%3E%3C/p%3E%3Cp%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%26nbsp;%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3EAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3EUnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%26nbsp;%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22text-align:center;%22%3E%3Cspan style=%22font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3EUnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.%3C/i%3E%3C/span%3E%3C/p%3E

Risk Adjustment Consultant - Minneapolis and surrounding areas - Remote

Risk Adjustment Consultant

2+ years in medical setting; experience with ICD-10, HEDIS, and Stars; 1+ year with EMR systems; proficiency in MS Office; strong communication and travel readiness.

DescriptionCPIhealth has an excellent opportunity for a Quality and Compliance Coordinator for a hybrid role to work at a designated location when onsite. The purpose of this position is to coordinate, provide support, lead, and maintain various projects within the Quality and Compliance Department. Essential Functions:<ul><li>Coordination of internal auditing program; work with operational leadership to ensure that process and procedure are being followed and all survey citations are corrected.</li><li>Coordination of coding audit program (across all disciplines); new provider reviews, provider education, billing requests per CPIHealth compliance plan.</li><li>Partner with all departments to review, develop, train and maintain process and procedure that meets regulatory and best practice standards. Project work may include facilitating meetings, training, analysis, sending action plans, QAPI, scorecards, TQM tools such as RCA, FMEA, etc.</li><li>Work in conjunction with or at the direction of the Quality and Compliance Director to monitor standards and CMS regulations for compliance on an ongoing basis; maintain a constant state of readiness for survey. Ensure that CPIhealth is in compliance with all regulatory standards (federal/state/local).</li><li>Support and collaborate with the Quality and Compliance Director to ensure the execution and communication of performance improvement activities occurs from the department level to CPIhealth management, and both staff members and CPIhealth management members can articulate the improvement plan and activities.</li><li>Partner with operations and department leaders on survey readiness, policy review/updates, standards review, trackers, mock surveys, internal audits, etc.</li><li>Participate in patient centric and patient experience activities through committee work, survey data analysis, provider and employee education, CAHPS education, and customer service training.</li><li>Develop, coordinate and maintain a system for defining and monitoring departmental indicators (scorecards).</li><li>Review the departmental indicators and quality measures on a regular basis and make recommendations as needed to ensure the performance improvement efforts are effective and that activities are directed toward analysis of data, with a focus on improvement of process.</li><li>Assist Quality and Compliance Director with the annual compliance plan review and employee certification process.</li><li>Coordination of document, training and record control; policies, procedures, documents in Learning System.</li><li>Responsible for Quality Reporting to various regulatory bodies (examples include, ACOs, MIPS, MNCM, ASQR, etc.)</li><li>Work in close collaboration with Practice Managers, Medical Directors, and Operational leadership.</li><li>Coordinate and support Quality and Compliance Director with department initiatives.</li><li>Primary location: Corporate/Hybrid work. Travel to multiple facilities and locations as needed.</li><li>Performs other duties as assigned to support the mission, values, and strategies of CPIhealth.</li></ul>RequirementsKnowledge, Experience &amp; Qualifications:<ul><li>Bachelor’s Degree preferred.</li><li>Certified coder or Billing experience required.</li><li>Five years minimum experience in healthcare. Experience in compliance, risk and/or privacy/security preferred.</li><li>Ability to promote confidentiality, respect, and dignity for all persons.</li><li>Effective written and verbal communication skills.</li></ul>Pay: $55,000 - $75,000Location: Hybrid work. Work locations Edina, MN or Coon Rapids, MN, when onsite. Comprehensive Benefits plan including:<ul><li>Medical, Dental, Vision insurance</li><li>Paid Time Off (accrued)</li><li>Flexible Spending Account for Health &amp; Dependent Care</li><li>Health Savings Accounts</li><li>Basic Life, Accidental Life, Supplemental Life Insurance</li><li>Short Term &amp; Long-Term Disability Plus Accident, Hospital and Critical Illness Voluntary Insurance</li><li>401(k) with match</li></ul>

Quality and Compliance Coordinator

Bachelor’s degree preferred; certified coder or billing experience required; five years healthcare experience; compliance, risk or privacy/security preferred; strong communication.

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