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Risk Adjustment Validation Audit Manager - Remote

Risk Adjustment Validation Audit Manager - Remote

Remote StaffingDallas, TX, US
16 hours ago
Job type
  • Full-time
  • Remote
Job description

Caring. Connecting. Growing Together.

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.

Primary Responsibilities

  • Monitor quality activities to increase departmental accuracy and efficiency, including but planning, development, and implementation of improvement areas
  • Review analysis of audit findings quality trends and noncompliance issues detected through auditing
  • Collaborate with team supervisors to develop best practices for communicating areas of improvement
  • Manage the implementation of proactive solutions to mitigate risk that will impact project quality
  • Incorporate feedback from operational and QA reports to improve performance
  • Assess, evaluate, and address variance in production and key goals for operations
  • Participates in team meetings / discussions of quality trends reported by team members

Required Qualifications

  • Coding Certification, i.e., CCS, CCS-P, CPC, CPC-H or CRN-C
  • 5+ years of experience auditing Risk Adjustment records
  • 1+ years of Risk Adjustment Data Validation Audit experience
  • 1+ years working in an Operations / Production environment
  • 1+ years of experience as a manager, responsible for performance management
  • Experience tracking employee's KPI's (Key Performance Indicators)
  • Intermediate (or higher) MS Office (Word, Excel & Outlook)
  • Proven excellent interpersonal, written, and verbal communication skills
  • Proven excellent organizational ability to manage multiple projects and perform in a deadline driven environment
  • Proven ability to maintain professionalism and a positive service attitude at all times
  • Proven intense focus, attention to detail, and due diligence are paramount for this role
  • No previous connection to the audit being performed
  • Must be 18 years of age OR older
  • Preferred Qualifications

  • Certified Risk Adjustment Coder
  • Solid team player with 2+ years of leadership experience
  • RHIA, RHIT, or Healthcare experience
  • Inpatient and Outpatient Coding experience
  • Experience utilizing claims data to target areas within the medical record to abstract ICD-10-CM codes that risk adjust within the v24 and V28 CMS Hierarchical Condition Categories (HCCs)
  • Technical expertise in ICD-10-CM
  • Knowledge of Risk Adjustment Data Validation (RADV) Coding Guidelines
  • Proven ability to assimilate and adapt quickly and accurately
  • Availability Requirements

  • Onshore : Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8 : 00am - 5 : 00pm CST. It may be necessary, given the business need, to work weekends.
  • Offshore : Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 8 : 00am - 5 : 00pm IST. It may be necessary, given the business need, to work weekends.
  • Telecommuting Requirements

  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  • 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). The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

    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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

    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.

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