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UnitedHealth GroupNew
Overview
Perform administrative reviews of short stay inpatient hospital claims based on Federal, State, and client requirements. Responsible for documenting all determinations and maintaining accurate use of screening criteria.
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Compensation
$29 - $52 / HOUR
Posted
New
Health Care Service Corporation
This position oversees clinical reviews for Applied Behavior Analysis (ABA) services, acting as a subject matter expert on autism spectrum disorder cases and ABA services within the Behavioral Health clinical team. Responsibilities include conducting and documenting peer-to-peer reviews with external ABA providers, consulting on cases reviewed by appeals staff, developing team training, and presenting data to leadership.
$121,200 - $225,200 / YEAR
1 month ago
UnitedHealth Group
The Community Health Worker acts as a liaison for Medicaid members, providing home and social assessments, member education, and support for accessing care. They engage members face-to-face in the community to manage health outcomes and drive quality performance.
$20 - $36 / HOUR
2 months ago
Assess, plan, and implement individualized care strategies while serving as a single point of contact for patients throughout the continuum of care. Advocate for patients and families to ensure their needs are met and coordinate with stakeholders to provide quality health services.
The Senior Observation Medical Coder is responsible for assigning accurate ICD-10-CDM and CPT-4 codes for hospital observation services while maintaining high standards of documentation. They also provide feedback to providers, perform chart reviews, and ensure compliance with coding quality and productivity benchmarks.
$24 - $43 / HOUR
Brown Medicine
The Coding Specialist reviews inpatient medical records to assign appropriate codes according to ICD-10-CM/PCS guidelines. They ensure accurate clinical reporting and maintain quality and productivity standards.
$26 - $43 / HOUR
The Coding Validator performs audits of medical records to ensure accurate coding and documentation. They prepare training materials and provide education while staying updated on coding guidelines and compliance policies.
$29 - $48 / HOUR
The Coding Specialist reviews outpatient clinical documentation to assign appropriate ICD-10-CM and CPT codes, ensuring that the documentation supports the code assignment. They also monitor uncoded reports and resolve coding conflicts to maintain timely coding and billing processes.
$24 - $39 / HOUR
Assign accurate diagnostic and procedure codes based on clinical documentation and official guidelines. Monitor work queues to ensure timely coding and generate queries for physician documentation clarification.
This role involves performing coder and provider audits of ICD-10, CPT, and HCPCS codes against documentation in multispecialty ambulatory medical records to ensure accuracy. Responsibilities also include preparing training materials, providing education, and identifying coding/documentation trends that pose a revenue risk.
$30 - $49 / HOUR
3 months ago
The Senior Inpatient Medical Coder will assign appropriate ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring adherence to official and client coding guidelines while understanding the impact on DRGs. Responsibilities also include abstracting data, providing documentation feedback to providers, and maintaining required coding quality and productivity levels.
$23 - $42 / HOUR
4 months ago
The Senior Inpatient Medical Coder will assign appropriate ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, ensuring compliance with official and client coding guidelines while understanding the impact on DRGs. Responsibilities also include abstracting data during chart review, adhering to ethical coding standards, providing documentation feedback to providers, and maintaining required quality and productivity levels.
The primary responsibility involves identifying the appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while strictly adhering to official and client coding guidelines. This includes abstracting additional data elements during chart review and querying physicians when necessary to maintain coding quality and productivity standards.
