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UnitedHealth Group Provider Educator - Telecommute within driving distance of Connecticut in New London, Connecticut

This isn't HR. This is Human Capital at UnitedHealth Group. Here, you're expected and empowered to be your best, to grow and to develop your skills. Join us and help people live healthier lives while doing your life's best work.(sm)

If you are located in Connecticut, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

  • Plan, conduct and coordinate all aspects of MRA process evaluation and education to internal and external partners, including but not limited to:

  • Communicating a comprehensive understanding of Medicare Risk Adjustment, Documentation & Coding guidelines to both external/internal partners while ensuring compliance with regulatory.

  • Analyze reports to identify and report documentation/coding trends in order to create opportunities for improvement with internal and external partners.

  • Ensure provider documentation and diagnostic code selections are appropriate and recommend improvements as necessary, including system-view recommendations based on EMR scope

  • Continually assess the knowledge and appropriate application of ICD-10 documentation and coding guidelines

  • Leverage reporting benchmarks and MRA success measures to prioritize efforts

  • Demonstrate a professional and effective face to face communication style and address issues as they arise

  • Act promptly in routine situations while building productive relationships and establish rapport

Required Qualifications:

  • RN degree

  • 3+ years of experience working in a provider setting

  • 2+ years of experience working with Medicare Risk Adjustment (MRA)

  • MS office experience including Excel and Powerpoint

  • Ability to work within Connecticut Provider Offices for at least 2 weeks a month

Preferred Qualifications:

  • Nurse Practioner

  • 5+ years of experience working in a provider setting

  • CPC or CRC certification

  • Previous billing and coding OR medical office management experience

  • Familiarity with outpatient and/or inpatient billing processes

  • Strong understanding of coding principles

  • Strong oral and written communication skills

  • Excellent facilitation, consulting and delivery of complex content

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

ProHealth Physicians is a physician-led medical group with 85 practice locations throughout Connecticut serving more than 10% of the state's residents. We empower physicians and advanced clinicians to better serve patients through enhanced care processes in support of improved patient outcomes. Formed in 1997, ProHealth Physicians has grown to include more than 350 primary care and specialty clinicians and offers select specialty and diagnostic/therapeutic services.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: MRA Provider Educator - Telecommute within CT, RN, nursing, coding, training, presenting, Medicare, Medicare Risk Adjustment, MRA, billing, provider, educator, physician