UnitedHealth Group

Associate Clinical Document Improvement Specialist

UnitedHealth Group$60K — $107K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • RN License (BSN Required) OR Medical Degree
  • 3+ years of clinical medicine, pathophysiology, and pharmacology experience
  • 3+ years of experience with ICD-10 coding, coding conventions, and guidelines
  • Intermediate level of experience with Microsoft Office and Electronic Medical Records

Responsibilities

  • Perform concurrent and retrospective chart reviews to enhance clinical documentation completeness
  • Stay updated on coding trends and Medicare regulations related to diagnosis coding
  • Utilize ICD-10 to investigate coding issues and ensure accuracy
  • Communicate daily with providers to clarify documentation needs
  • Lead efforts to improve clinical documentation through assessments and recommendations
  • Maintain effective communication with providers about documentation requirements
  • Ensure proper documentation and follow-through for clarification requests

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Employee stock purchase options
  • 401k contributions
  • Telecommuter support and flexibility
Full Job Description
  • Perform concurrent and retrospective chart reviews for improving the overall completeness of clinical documentation
  • Keep abreast of current coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends
  • Effectively utilizes ICD-10 and related materials to investigate coding issues and produce accurate results
  • Conducts daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
  • Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
  • Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
  • Provides complete follow through on all requests for clarification or recommendations for improvement
  • Ensures effective utilization of Optum4 CDI 3D Technology to document all clarification activity
  • Utilizes only the Optum360 approved clarification forms
  • Proactively develops a reciprocal relationship with the HIM Coding Professionals
  • Engages and consults with Physician Advisor /VPMA when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process


Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • RN License (BSN Required) OR Medical Degree
  • 3+ yeas of clinical medicine, pathophysiology, and pharmacology experience
  • 3+ years of experience with ICD-10 coding, coding conventions, and guidelines
  • Intermediate level of experience with Microsoft Office and Electronic Medical Records


Preferred Qualifications:

  • 3+ years of CDI experience for an acute care hospital
  • 5+ years of acute inpatient hospital coding with certifications
  • 5+ years acute care hospital clinical RN experience OR Medical Graduate with CDI
  • Experience and CDI certification (CCDS, CDIP)
  • CCDS, CDIP or CCS certification
  • BSN degree if a RN
  • CAC experience (Computer Assistant Coding)


*All Telecommuters will be required to adhere to UnitedHealth Groups 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, youll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually 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.

About UnitedHealth Group

UnitedHealth Group is a medical facility. They offer health technology, health finance, and pharmacy services. They are utilizing clinical data and intelligence to assist in the redesign, automation, and deployment of technology to streamline administrative operations and clinical decision-making. Payment systems for both consumers and providers are critical components of a health-care system.

UnitedHealth Group Careers

Joining UnitedHealth Group means becoming part of a diverse team dedicated to making a difference. As a leader in health services and innovation, our company offers a variety of job opportunities that allow professionals to leverage their skills, drive innovation, and improve lives. Work You’ll Do At UnitedHealth Group, you’ll contribute to a mission-focused environment where your expertise will influence the health and well-being of people worldwide. Our employment opportunities span across a wide range of disciplines, from healthcare specialists to data analysts, ensuring that your career journey is both dynamic and rewarding. Transform Healthcare with Your Expertise UnitedHealth Group stands at the forefront of health innovation. Our team collaborates to deliver solutions that lead to better patient outcomes. Working with us, you’ll find yourself at the intersection of technology, healthcare, and leadership, providing key insights that drive industry transformation. Join Our Global Team As part of our team, you’ll engage with over 300,000 professionals globally, dedicated to building a diverse and inclusive workplace. UnitedHealth Group is not just a company; it’s a community where you can grow your career through continuous learning and leadership opportunities. Our commitment to diversity training ensures that every team member can thrive. UnitedHealth Group Career Development We are committed to your professional growth. Explore career paths filled with promising job opportunities and internships that will harness your potential and expand your capabilities. Whether you’re a seasoned professional or a recent graduate, you’ll find that our career development programs support your ambition at every level. Innovative Work Environment At UnitedHealth Group, innovation is at the core of our operations. We encourage our team to bring forward-thinking ideas that challenge the status quo and lead to breakthrough improvements in patient care. Be Part of a Great Team Our culture fosters a collaborative and supportive environment where every member’s contribution is valued. Enjoy the benefits of being part of a global team that’s committed to making a difference in people’s lives. Future-Proof Your Career With UnitedHealth Group, your career is future-proof. Dive into a range of positions that offer both challenges and rewards. Our robust support system includes unmatched training, development programs, and certification support to propel your career forward. Stay Connected Join Our Team Discover the right position that matches your skills and interests. We are always hiring and look for passionate, curious, and solution-driven team players. Search UnitedHealth Group jobs today and take the first step towards a fulfilling career. Keep Up to Date Stay informed with career tips, insider perspectives, and industry-leading insights you can use today—all from the people who work here. Read Careers Blog Job Alert Emails Customize your subscription to receive job alerts, the latest news, and insider tips tailored to your preferences. Explore the exciting and rewarding opportunities that await at UnitedHealth Group.
Learn more about UnitedHealth Group
Size
350,000 employees
Market Cap
$493.1 billion
Industry
Net Income
$15.4 billion
Founded
1974
5 Year Trend
+9.2%
Revenue
$257.1 billion
NASDAQ

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