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View Full Version : SR Clinical Coding Analyst-Hospital: Telecommute
ladybug2u
07-23-2011, 02:19 PM
Description
Work From Your Home Office! Flexible Mon-Fri Schedule! APPLY NOW!
The Senior Clinical Coding Specialist-Hospital is responsiible for the testing and validation of the LifeCode engine. LifeCode is computerized software that utilizes state-of-the-art Natural Language Processing (NLP), to ensure high quality ICD-9-CM and CPT code assignment. The chosen candidate will be part of the production team and will work closely with the NLP engineering staff. As a subject matter expert (SME) this person will assist with product implementation, customer support and sales. This position will report directly to the Coding Manager-Hospital.
Responsibilities of the Senior Clinical Coding Specialist-Hospital:
Collaborates with product management and the development team on the impact of longer terms trends related to new coding guidelines, quality reporting, pay-for-performance and new technology.
Suggests product enhancement ideas based on subject matter expertise in hospital coding and billing.
Defines requirements for ICD-9-CM, ICD-10-CM, ICD-10-PCS,CPT and HCPCS code development for periodic releases of the LifeCode engine.
Works with the NLP (Natural Language Processing) team on hospital coding development.
Provides detailed coding feedback on regression and functional tests using Windows based quality assurance software.
Specifies requirements for document filtering to optimize performance of the LifeCode engine for ICD, CPT and HCPCS coding.
Analyzes coded data and clinician documentation to provide relevant examples for the NLP development team and provide feedback for customer service and sales.
Applies coding principals and guidelines in the assignment of diagnosis and procedure codes.
Applies knowledge of medical terminology, anatomy, physiology and pathophysiology in the assignment of appropriate codes.
Acts as a resource for coding questions and related issues internally.
Maintains all certification CEU's.
Qualifications
Required:
Must have at least one of the following: CPC, CPC-H, CCS, CCS-P.
10 years of continuous hospital coding/abstracting experience***Must have recent experience within the last 7 years***.
Must satisfactorily complete a coding assessment.
Strong working knowledge of inpatient and outpatient hospital coding and billing.
Experience in coding of multiple outpatient specialties such as: radiology, emergency medicine, and same-day surgery.
Demonstrated ability to understand clinical content of a health record.
Must have Strong Technical Knowledge of: Healthcare domain and/or Hospital Encoder.
Strong computer proficiency with MS Word and Excel.
Ability to work effectively within a team.
Ability to communicate effectively with linguists and other coders to clarify development output of diagnoses/procedures and sequencing of same.
A working knowledge of healthcare, hospital, billing companies, medical record coding and auditing.
Strong organizational and time management skills.
Preferred Qualifications:
Bachelor's Degree
RHIT and/or RHIA accreditation
OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights � processing health information that relates directly to and affects one in four patients in the U.S, one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you�ll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It�s always fresh. It�s always exciting. And it�s never been more important.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
United Health Group SR Clinical Coding Analyst-Hospital: Telecommute! San Diego CA (http://diversityinc.careercast.com/careers/jobsearch/detail?jobId=40053648&utm_source=Indeed&utm_medium=organic&utm)
Work From Your Home Office! Flexible Mon-Fri Schedule! APPLY NOW!
The Senior Clinical Coding Specialist-Hospital is responsiible for the testing and validation of the LifeCode engine. LifeCode is computerized software that utilizes state-of-the-art Natural Language Processing (NLP), to ensure high quality ICD-9-CM and CPT code assignment. The chosen candidate will be part of the production team and will work closely with the NLP engineering staff. As a subject matter expert (SME) this person will assist with product implementation, customer support and sales. This position will report directly to the Coding Manager-Hospital.
Responsibilities of the Senior Clinical Coding Specialist-Hospital:
Collaborates with product management and the development team on the impact of longer terms trends related to new coding guidelines, quality reporting, pay-for-performance and new technology.
Suggests product enhancement ideas based on subject matter expertise in hospital coding and billing.
Defines requirements for ICD-9-CM, ICD-10-CM, ICD-10-PCS,CPT and HCPCS code development for periodic releases of the LifeCode engine.
Works with the NLP (Natural Language Processing) team on hospital coding development.
Provides detailed coding feedback on regression and functional tests using Windows based quality assurance software.
Specifies requirements for document filtering to optimize performance of the LifeCode engine for ICD, CPT and HCPCS coding.
Analyzes coded data and clinician documentation to provide relevant examples for the NLP development team and provide feedback for customer service and sales.
Applies coding principals and guidelines in the assignment of diagnosis and procedure codes.
Applies knowledge of medical terminology, anatomy, physiology and pathophysiology in the assignment of appropriate codes.
Acts as a resource for coding questions and related issues internally.
Maintains all certification CEU's.
Qualifications
Required:
Must have at least one of the following: CPC, CPC-H, CCS, CCS-P.
10 years of continuous hospital coding/abstracting experience***Must have recent experience within the last 7 years***.
Must satisfactorily complete a coding assessment.
Strong working knowledge of inpatient and outpatient hospital coding and billing.
Experience in coding of multiple outpatient specialties such as: radiology, emergency medicine, and same-day surgery.
Demonstrated ability to understand clinical content of a health record.
Must have Strong Technical Knowledge of: Healthcare domain and/or Hospital Encoder.
Strong computer proficiency with MS Word and Excel.
Ability to work effectively within a team.
Ability to communicate effectively with linguists and other coders to clarify development output of diagnoses/procedures and sequencing of same.
A working knowledge of healthcare, hospital, billing companies, medical record coding and auditing.
Strong organizational and time management skills.
Preferred Qualifications:
Bachelor's Degree
RHIT and/or RHIA accreditation
OptumInsight is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumInsight is one of the largest and fastest growing health information companies. We specialize in improving the performance of the health system by providing analytics, technology and consulting services that enable better decisions and results. We integrate workflow solutions that deliver data in real-time, and create actionable insights � processing health information that relates directly to and affects one in four patients in the U.S, one in every three Medicaid dollars and one in every five emergency room visits. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.
What can YOU do with the right information? At OptumInsight, the possibilities and the impact are limitless. No matter what your role is at OptumInsight, you�ll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever. It�s always fresh. It�s always exciting. And it�s never been more important.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
United Health Group SR Clinical Coding Analyst-Hospital: Telecommute! San Diego CA (http://diversityinc.careercast.com/careers/jobsearch/detail?jobId=40053648&utm_source=Indeed&utm_medium=organic&utm)
