UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Description
Ingenix is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
Ideal candidate needs to understand hospital inpatient and outpatient coding and editing.
Job responsibilities include the following:
1.Provide clinical support to the facility editing product development teams
2.Serve as a liaison between the coding and product teams
3.Serve as resource to explain facility edits and the coding requirements around the edit
4.Develop documentation to identify sources of edits
5.Working with product management teams on developing editing software tools and recommending additional edits for both payers and providers
6.Provide clinical support to potential and current clients to explain edits
Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications
- Credentials: RHIA, RHIT, CCS, and/or CPC
- Hospital ICD-9-CM, CPT and HCPCS coding (Inpatient and Outpatient) with knowledge of Medicare editing (OCE, LCD/NCD, MCE) and reimbursement (MS-DRG and APC)
- Assesses and interprets customer editing needs and requirements related to clinical coding
- Works with minimal guidance; seeks guidance on only the most complex tasks
- Acts as a resource for others with less experience
Additional experience that would be useful:
- 3 years experience working with payers on hospital reimbursement
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
