DRG/Clinical Validation Auditor RN

%3Cp class=%22MsoNormal%22 style=%22background-color:white;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3E%2410,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan class=%22normaltextrun%22 style=%22line-height:115%;%22%3EOptum 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.%3C/span%3E%3C/span%3E%3Cspan style=%22background-color:inherit;color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:none !important;line-height:115%;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;%22 data-contrast=%22none%22 xml:lang=%22EN-US%22%3E%3Cstrong%3E%26nbsp;%3C/strong%3EHere, 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.%3Cstrong%3E%26nbsp;%3C/strong%3EJoin us to start%26nbsp;%3Cstrong%3ECaring. Connecting. Growing together.%3C/strong%3E%26nbsp;%26nbsp;%3C/span%3E%3Cspan class=%22eop%22 style=%22-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;%22 data-contrast=%22none%22 xml:lang=%22EN-US%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3EIn this position as a%26nbsp;%3Cstrong%3EClinical DRG RN auditor%3C/strong%3E, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims. Employing both industry and Optum proprietary tools, you will validate ICD-10 diagnosis and procedure codes, DRG assignments, and discharge statuses billed by hospitals to identify overpayments. Utilizing excellent communications skills, you will compose rationales supporting your audit findings.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3EYou’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EPrimary Responsibilities:%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EConduct MS-DRG and APR-DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EUtilize expert knowledge to identify the ICD-10-CM/PCS code assignment, appropriate code sequencing, present on admission (POA) assignment, and discharge disposition, in accordance with CMS requirements,%26nbsp;ICD-10 Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance%26nbsp;%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EApply current ICD-10 Official Coding Guidelines and AHA Coding Clinic citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate code assignments%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPerform clinical coding review to ensure accuracy of medical coding and utilize clinical expertise and judgment to determine correct coding and billing%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EUtilize solid command of anatomy and physiology, diagnostic procedures, and surgical operations developed from specialized training and extensive experience with ICD-10-PCS code assignment%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EWrite clear, accurate and concise rationales in support of findings using ICD-10 CM/PCS Official Coding Guidelines, and AHA Coding Clinics%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EUtilize proprietary workflow systems and encoder tool efficiently and accurately to make audit determinations, generate audit rationales and move claims through workflow process correctly%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDemonstrate knowledge of and compliance with changes and updates to coding guidelines, reimbursement trends, and client processes and requirements%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMaintain and manage daily case review assignments, with a high emphasis on quality%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProvide clinical support and expertise to the other investigative and analytical areas%26nbsp;%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EWork in a high-volume production environment that is matrix driven%26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EWhat 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.%26nbsp;Some of our offerings include:%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPaid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMedical Plan options along with participation in a Health Spending Account or a Health Saving account%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDental, Vision, Life%26amp; AD%26amp;D Insurance along with Short-term disability and Long-Term Disability coverage%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E401(k) Savings Plan, Employee Stock Purchase Plan%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEducation Reimbursement%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEmployee Discounts%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEmployee Assistance Program%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEmployee Referral Bonus Program%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EVoluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3EYou’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.%3C/span%3E%3C/span%3E%3C/p%3E%3Coj-label class=%22block__field-label oj-label oj-component oj-complete%22 style=%22color:rgb(132, 132, 132);display:block;font-size:0.929rem;font-weight:normal;margin-bottom:0.25em;overflow-wrap:break-word;word-break:break-word;%22 data-bind=%22attr: {for: %24data.name + %27-value%27, style : %24data.labelStyle }%22 for=%22qualificationExt-value%22 id=%22ui-id-18316%22%3E%3Clabel class=%22oj-component-initnode%22 data-oj-internal=%22%22 id=%22ui-id-18316|label%22 for=%22qualificationExt-value%22%3E%3Cspan style=%22font-size:0.929rem;%22 data-bind=%22html: %24component.getLabel(%24data)%22%3E%3C/span%3E%3C/label%3E%3C/oj-label%3E
%3Cp class=%22MsoNormal%22 style=%22background-color:white;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ERequired Qualifications:%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l3 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAssociate’s degree%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l3 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EUnrestricted RN (Registered Nurse) license%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l3 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECCS/CIC or willing to obtain certification within 6 months of hire%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l3 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E2+ years of MS DRG/APR DRG coding experience in a hospital environment with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l3 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E2+ years of ICD-10-CM coding experience including but not limited to expert knowledge of principal diagnosis selection, complications/comorbidities (CCs) and major complications/comorbidities (MCCs), and conditions that impact severity of illness (SOI) and risk of mortality (ROM)%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l3 level1 lfo1;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E2+ years of ICD-10-PCS coding experience including but not limited to expert knowledge of the structural components of PCS such as selection of appropriate body systems, root operations, body parts, approaches, devices, and qualifiers%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EPreferred Qualifications:%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience with prior DRG concurrent and/or retrospective overpayment identification audits%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience working with Utilization Management%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience with readmission reviews of claims%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience with DRG encoder tools (ex. 3M)%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExperience using Microsoft Excel with the ability to create / edit spreadsheets, use sort / filter function, and perform data entry%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EHealthcare claims experience%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EManaged care experience%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l1 level1 lfo2;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EKnowledge of health insurance business, industry terminology, and regulatory guidelines%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ESoft Skills:%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAbility to use a Windows PC with the ability to utilize multiple applications at the same time%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAbility to work independently in a remote environment and deliver exceptional results%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDemonstrate excellent written and verbal communication skills, solid analytical skills, and attention to detail%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l0 level1 lfo3;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EExcellent time management and work prioritization skills%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22-webkit-text-stroke-width:0px;background-color:white;font-variant-caps:normal;font-variant-ligatures:normal;margin-bottom:9.0pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;vertical-align:middle;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EPhysical Requirements and Work Environment:%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22-webkit-text-stroke-width:0px;font-variant-caps:normal;font-variant-ligatures:normal;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;widows:2;word-spacing:0px;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo4;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EFrequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo4;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EHave a secluded office area in which to perform job duties during the work day%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22background-color:white;color:black;line-height:normal;mso-list:l2 level1 lfo4;mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;tab-stops:list .5in;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EHave reliable high-speed internet access and a work environment free from distractions%26nbsp; %26nbsp;%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp; %26nbsp;%26nbsp;%26nbsp; %26nbsp;%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp style=%22margin:0in 0in 9.0pt;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3E**PLEASE NOTE** The sign-on bonus is only available to external candidates.%26nbsp; Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis (%22Internal Candidates%22) are not eligible to receive a sign on bonus.%26nbsp;%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan class=%22normaltextrun%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22background-color:white;color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan class=%22normaltextrun%22 style=%22mso-color-alt:windowtext;%22%3EPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from %2435.00 to %2462.50 per hour based on full-time employment. We comply with all minimum wage laws as applicable.%3C/span%3E%3Cspan class=%22eop%22 style=%22-webkit-tap-highlight-color:transparent;-webkit-text-stroke-width:0px;-webkit-user-drag:none;font-variant-caps:normal;font-variant-ligatures:normal;mso-color-alt:windowtext;orphans:2;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;user-select:text;widows:2;word-spacing:0px;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3EPursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp; %26nbsp;%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%3Cstrong%3EApplication Deadline:%26nbsp;%3C/strong%3EThis will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.%3C/span%3E%3C/i%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp; %26nbsp; %26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3EAt UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp; %26nbsp; %26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3EUnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;text-align:center;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Ci%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3EUnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp; %26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E%26nbsp;%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22background-color:white;line-height:normal;margin-bottom:9.0pt;vertical-align:middle;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-font-kerning:0pt;mso-ligatures:none;%22%3E#RPO #GREEN%3C/span%3E%3C/span%3E%3C/p%3E