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About UHG

Careers at UnitedHealth Group

 

We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation, and performance serve as a foundation to transform health care. Are you in? Learn more about your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Nurse

Country:

United States

Postal Code:

46140

Approximate Salary:

Not Specified

Position Type:

Full Time

Manager, Clinical Data Operations, Registered Nurse, RN - Indianapolis, IN

UHG - Greenfield, Indiana

Posted: 09/2/2018

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 

The Clinical Data Operations Manager manages, plans, and organizes the DataRAP department staff and operations to ensure that the DataRAP processes for record reviews are conducted in a timely manner to meet company and regulatory standards. Customers served: DataRAP staff, providers, medical group administrators and business associates.

 

Primary Responsibilities:

  • Provides Day-to-day oversight of multiple market operations for the DataRAP department and staff to ensure DataRAP processes are completed timely to meet company and regulatory standards
  • Develops new and revises existing DataRAP medical record review processes and resource/reference tools
  • Coordinates educational training sessions for market Primary Care Physicians and their staff to ensure compliance with DataRAP processes
  • Maintains monthly reporting to network management, physician business managers and clinic staff to assist PCP’s remain compliant with DataRAP processes
  • Monitors staff compliance with DataRAP policies and procedures to ensure quality outcomes for the department
  • Monitor and maintain staff productivity and coordinates all training for new and existing employees
  • Assists other managers and supervisors in the hiring of staff for all markets and assures adequate staffing is in place to meet market demands
  • Provides employee coaching, counseling and evaluation of performance through periodic and annual reviews
  • Performs all other related duties as assigned

This is an office based position near N. Pennsylvania, 46280

Local and Non-Local travel is required as determined by the business.


Required Qualifications:

  • Bachelor’s of Science in Nursing or related field (Eight additional years of experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree)
  • Current Registered Nurse (RN) licensure
  • 5+ years of clinical RN experience with at least three years of ICD-9 diagnostic coding and supervisory experience
  • CPC certification or proof that certification has been obtained with 9 months of hire date from the American Academy of Professional Coders
  • Strong knowledge of ICD-9 coding processes with excellent analytical and data mining skills
  • Ability to effectively manage projects, plan and implement programs and evaluate outcomes
  • Ability to effectively report data, facts and recommendations in oral and/or written form
  • Ability to analyze facts and exercise sound judgment when arriving at conclusions
  • Ability to effectively manage and direct various levels of staff
  • Ability and willingness to travel a minimum of 30%, (locally and non-locally) as determined by business need

Preferred Qualifications:

  • Master’s of Science in Nursing or related field
  • 4+ years of medical coding operations management experience

Physical & Mental Requirements:

  • Ability to lift up to 25 pounds
  • Ability to sit for extended periods of time
  • Ability to stand for extended periods of time
  • Ability to use fine motor skills to operate office equipment and/or machinery
  • Ability to receive and comprehend instructions verbally and/or in writing
  • Ability to use logical reasoning for simple and complex problem solving

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)

 


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, Coding, American Academy of Professional Coders , AAPC, CPC-A, CRC, Clinical Documentation Improvement, Nurse Auditor, Quality, Risk Adjustment, Data Rap, ICD, CPT, Analysis, Clinical Education, CMS-HCC Model, Consultant, Chart and Medical Records Reviewer, Registered Nurse, RN, 46280, Indianapolis, IN

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