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Supervisor - Risk Adjustment Clinical Documentation Improvement
Category: Health Care Industry , Insurance
  • Your pay will be discussed at your interview

Job code: lhw-e0-90671482

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UnitedHealth Group

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
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Supervisor - Risk Adjustment Clinical Documentation Improvement
There's energy and excitement here, a shared mission to improve the lives of others as well as our own.
Nursing here isn't for everybody.
Instead of seeing a handful of patients each day, your work may affect millions for years to come.
Ready for a new career path? Start doing your life's best work.(sm) Responsible for the daily operations including planning, organizing, staffing, directing, and controlling all functions of the Clinical Documentation Improvement quality programs supporting OptumCare Complex Care Management division. The CDI Supervisor will manage, oversee, and monitor the process and workflows of coding and quality reviews, and direct, support, and educate the staff, interact with Compliance, QA, and other professional and support staff to ensure quality and consistency of ICD-10, CPT, and documentation guidelines according to CMS regulations and the organization's Compliance Plan. *This position is remote, but requires quarterly travel to the following cities: Chicago, IL; Columbia, MD; Rochester, NY; Washington DC; New York City* You'll enjoy the flexibility to telecommute* from anywhere within the U.S.
as you take on some tough challenges.
Primary Responsibilities: Coaches / oversees work activities of the CDIS team on quality and productivity (overall performance, including identification of strengths and weaknesses, individual action plans, mentoring and delivering valued one-one feedback to individuals on the team) Acts as the direct line resource to the CDIS for questions and issues Supports and executes quality and productivity goals Prepares weekly team performance reports including weekly production, quality assessments and coding inventory reports and submits to the Manager for review Adjusts workload and CDIS assignments as necessary to ensure accuracy and to meet production goals Schedules and completes weekly one-on-one meetings with CDIS staff Mentors the CDIS in building effective relationships with the providers they support Participates in the interviewing and onboarding of new staff Coordinates and delivers onboarding and orientation of new hires and contractors Provides feedback and input regarding employee performance and completes employee annual MAPs Coordinates employee schedules, including PTO requests to ensure adequate coverage Reviews / approves bi-weekly time sheets through HR Direct / Self-Service Reviews / approves weekly time sheets for contractors through contractor express Sets team direction, resolves problems and provides guidance to members of own team Adapts departmental plans and priorities to address business and operational challenges Influences and provides input to forecasting and planning activities Promotes morale by clearly communicating goals, standards and needs of the department and organization Fosters an environment of teamwork and service excellence within the department Under the direction of the Associate Director organizes and oversees the quality review process of the field providers Collaborates with Medical Directors and Market Leadership to strengthen documentation for identified deficiencies Acts as SME for various projects as assigned Required Qualifications: Undergraduate degree or higher or significant equivalent work experience Coding Certification from AACP or AHIMA professional coding association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCS, CCS-P) 5+ years coding experience with ICD diagnosis codes 3+ years of experience with Risk Adjustment and HCC Model coding / Auditing 2+ years effective management and leadership experience Leadership style that promotes employee engagement and excellent manager proficiency Demonstrated ability to work independently and manage work efficiently Ability to communicate clearly, verbally and in writing with providers and other health care leaders Requires strong verbal communication and interpersonal skills Proficient computer skills including applicable skills with MS Word, Excel, PowerPoint, and MS Outlook Training / Mentoring / Coaching experience Preferred Qualifications: Encoder Pro experience a plus Prior experience as a clinical documentation improvement specialist CRC Credential Use your diverse knowledge and experience to make health care work better for our patients.
Join us in reshaping health care while doing your life's best work.(sm) *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment. Job Keywords: CPC, CCS, CCS - P, or RHIT, coding, medicare, risk adjustment, ICD10, ICD9, audit, quality, CMS, HCC, CRC, Certified risk coder, telecommute, telecommuter, telecommuting, HCC, RN, LPN, SKILLED, SNF, Long-term care, Chicago, IL, Columbia, MD, Rochester, NY, Washington DC, New York City 0c729b8d-95ec-4650-9966-af7e6b1af736
*Supervisor - Risk Adjustment Clinical Documentation Improvement Specialist - Columbia, MD*

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