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 thru 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 being 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:
AAPC and/or AHIMA Certification, i.e., CCS, CCS-P, CPC, CPC-H
3+ years of coding experience
1+ years of experience auditing medical records
Ability to achieve and maintain an industry standard coding accuracy of 95% or greater
Proven knowledge of Risk Adjustment Data Validation (RADV) Coding Guidelines
Technical expertise in ICD-10-CM
Intermediate (or higher) experience in MS Office (Word, Excel & Outlook)
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 maintain professionalism and a positive service attitude at all times.
Demonstrated intense focus, attention to detail, and due diligence are paramount
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
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
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.
UnitedHealth Group
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