Clinical Quality Analyst Coding at UnitedHealth Group
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Clinical Quality Analyst Coding
Las Vegas Nevada
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Clinical Quality Analyst Coding
Requisition number 2338899
Job category Medical & Clinical Operations
Primary location Las Vegas NV
Date posted 04032026
Overtime status Non-exempt
Travel No
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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.
Schedule Monday through Friday from 830 am to 500 pm
Location 2716 North Tenaya Way Las Vegas NV 89128
The Clinical Quality Analyst Coding position supports IPA Independent Provider Association Providers with ongoing ICD 10 CM Coding Education relating to Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines by providing tools to allow for greater meaningful information exchange to allow providers to identify potential new clinical conditions early reinforce self-care and prevention strategies coordinate care improve overall patient outcomes. This position will be responsible for effectively training clinical documentation skills for complete reporting of medical diagnoses to build an accurate health profile for each individual member.
Primary Responsibilities
Provide coding and documentation improvement education and training to IPA Independent Provider Association providers consistent with network goals objectives and best practices
Collaborate with organizational leaders to identify emerging needs and generate solutions
Serve as a Coding and Documentation resource to IPA Providers by performing concurrent reviews and targeted chart or HEDIS retrievals in provider offices
Coding audit findings industry updates and common medical documentation issues will be communicated to providers to ensure CMS and Optum compliance guidelines
Will perform coding reviews through Internal System
Participate in the development and onboarding of various programs for IPA providers
Translate concepts into practice
Develop and implement effective analysis research and evaluation of quality measures required for member demographic Care of Older Adults COA Diagnostic and lab testing
Develop and maintain working relationships with our clinic partners including providers and their support staff in person
Ability to work with multiple internal and external partners at various levels of the organization
Adhere to project goals milestones based on identified business needs timelines and obtain appropriate approvals
Adhere to established guidelines for formatting and templates
Functions as part of a collaborative high functioning coding education team
Ability to manage multiple tasks and projects and forge solid interpersonal relationships within the department with other departments and with external audiences
Works with minimal guidance seeks guidance on only the most complex tasks
Solid aptitude for quickly troubleshooting and identifying the cause of questionable results within reports provider documentation or charges submitted
This position requires an in-person presence in various provider offices routinely
Ability to move lift and or push 25 pounds
Must maintain flexibility and adjust working hours according to provider needs
Must adhere to department standards for productivity and performance
Must adhere to HIPAA Confidentiality Standards
Must be available to attend monthly IPA Team meeting in person
Generally work is self-directed and not prescribed
Works with less structured more complex issues
Serves as a resource to others
What are the reasons to consider working for UnitedHealth Group Put it all together - competitive base pay a full and comprehensive benefit program performance rewards and a management team who demonstrates their commitment to your success. Some of our offerings include
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental Vision Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401k Savings Plan Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits pet insurance legal insurance LTC Insurance etc.
Youll 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
UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.
What we do
Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.
https://www.youtube.com/watch?v=5PbNyi2IDkY
Caring. Connecting. Growing together.
Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:
• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer.
• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture.
• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop.