Senior Quality Assurance Auditor

UnitedHealth Group

  • Eden Prairie, MN
  • $28.27-50.48 per hour
  • Permanent
  • Full-time
  • 27 days ago
Optum 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.The Senior Quality Assurance Auditor (SQA) provides auditing services that measures the accuracy and completeness of the Quality Assurance (QA) Auditor by performing chart reviews that include analysis of ICD-10-CM codes reported for clinical diagnoses, injuries, illnesses, or medical procedures reviewed by QA Auditor of ICD-10-CM codes originally reported by a coder.In addition, the Quality Assurance Auditor Incorporates attributes of Quality Improvement by identifying areas of improvement through analysis of the SQA findings organized into data trends used to improve the overall QA process. The Senior Quality Assurance Auditor is the last step of the coding process ensuring that valid Hierarchal Coding Conditions are presented to our clients and to CMS.You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:
  • Reviews codes audited by the QA Team for accuracy and completeness
  • Ability to decipher and apply best practices
  • Supports production and outside audit volume as the business requires
  • Successfully implements new processes
  • Identifies and communicates trending inaccuracies and/or missed opportunities
  • Participates in team meetings/discussions of quality trends reported by team members
  • Analyzes areas of need and collaborates with team to develop best practices
  • Provide guidance on the communication of errors to coders
  • Identifies QA processes that impede quality
  • Propose quality initiatives that will impact Auditor quality
  • Adheres to the schedule and communicates any changes to the team supervisor
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:
  • High School Diploma/GED (or higher)
  • AAPC and/or AHIMA Certification, i.e., CCS-P, CPC, CPC-H
  • 3+ years of coding experience
  • 1+ years of experience in auditing medical records
  • Intermediate level of proficiency with MS Office (Word, Excel & Outlook)
  • Ability to achieve and maintain an industry standard coding accuracy of 95% or more
Preferred Qualifications:
  • Certification of CRC
  • 5+ years of coding experience
  • Inpatient and outpatient coding experience
  • Proven clinical background or Physician's office/hospital experience
  • Ability to be a solid team player that demonstrates leadership skills
  • Proven excellent interpersonal, written, and verbal communication skills
  • Proven solid organizational ability to manage multiple projects
  • Proven ability to perform in a deadline driven environment
  • Proven ability to always maintain professionalism and a positive service attitude
  • Demonstrated intense focus, attention to detail, and due diligence are paramount
  • Technical expertise in ICD-10-CM
  • Proven knowledge of Risk Adjustment Data Validation (RADV) Coding Guidelines
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.For more information on our Internal Job Posting 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 $28.27 to $50.48 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

UnitedHealth Group