Risk Adjustment Coding Educator

UnitedHealth Group
We are currently hiring a Coding Educator to cover Bakersfield/Fresno, CA and surrounding areas.   You will be in the field consulting with physicians approximately 75% of the time, Monday through Friday. 
 
The Coding Educator demonstrates experience by correlating coding accuracy with correct HCC assignment.  The CQC Coder is responsible for conducting the audit to improve and increase members annual funding in order to drive better patient care and assist providers through education and training to improve RAF score accuracy.
 
The CQC Coder will comply with Coding and Corporate Compliance standards. Abides by ethical standards and adheres to official coding guidelines. The CPC Coder will perform other duties as assigned.  The individual in this role will perform the crucial task of assuring accuracy of codes from the listing of International Classification of Diseases, Tenth Revision; (ICD-10-CM).
 
If you are located in Bakersfield / Fresno, CA area, you will have the flexibility to telecommute* as you take on some tough challenges. The role is based out of employee's home but will be required to work in the field at least 75% of the time
 
Primary Responsibilities:
  • Targeting local providers who would benefit from our Medical Risk Adjustment training
  • Reaching out to physicians, medical groups, IPAs and hospitals, and building positive, consultative relationships
  • Educating providers on how to improve their Risk Adjustment Factor (RAF) scores, which measure their patients' health status
  • Developing comprehensive, provider-specific plans to increase their RAF performance
  • Training providers on our Risk Adjustment methods and tools, and working toward their compliance with our programs

More Information

Type

Mid-level industry position

Fresno%2C%20United%20States

Fresno , United States

Location

United States

Fresno

Type

Mid-level industry position

Fresno%2C%20United%20States