Optum
HCC Coding and Quality Assistant - Kelsey Seybold Clinics - Remote in TX
Be an Early Applicant
Ensures accurate HCC diagnosis coding and documentation compliance with CMS Medicare Advantage requirements and ICD-10-CM guidelines. Reviews coding accuracy, supports quality outcomes, and applies analytical attention to detail when evaluating clinical documentation. The role requires coding certification or equivalent experience, ICD-10-CM training, and a recognized coding credential. HEDIS, Medicare coding rules, and Microsoft Office experience are preferred. This is a remote role for candidates located in Texas.
Requisition Number: 2394495
Explore opportunities with Kelsey-Seybold Clinic,part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
If you are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Explore opportunities with Kelsey-Seybold Clinic,part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
If you are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
- Ensure the accurate coding of diagnoses which fall into the HCC model as required by CMS for Medicare Advantage plans
- Ensure documentation of diagnoses meets the requirements set forth by CMS and the Official ICD-10-CM Guidelines for Coding and Reporting
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:
- Coding Program Certificate, or 2+ years of equivalent experience
- Proof of 10+ hours ICD-10-CM training or AAPC ICD-10-CM Assessment certificate
- CCS-P (Certified Coding Specialist-Physician) or CPC (Certified Professional Coder) or CPC-A or CRC (Certified Risk Adjustment Coder)
- ICD-10-CM Coding knowledge
- Proven analytical, high attention to detail, efficient, flexible, high work ethic and team building
- Proven ability to speak write and understand English
- Demonstrated excellent problem solving, written and verbal skills
- Proven ability to work with people of various educational, cultural and socioeconomic backgrounds
Preferred Qualifications:
- HEDIS experience
- Knowledge of Medicare and other government or third-party coding rules
- Working knowledge of Word, Excel, and Outlook
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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 $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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