Provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported Maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required You'll be rewarded and recognized for your performance in an environment that will

Analysis and documentation Identifies and defines business requirements Constructs workflow charts and diagrams Validates resource requirements and develops basic cost estimate models Manages complex requirement conflicts, and assists associate and intermediate level Business Analysts with moderately complex to complex requirement conflicts Implements, modifies, tests, an

Assists in documenting standard operating procedures and business rules for the department Communicates with superiors, peers, employees, internal and external customers, and others, as appropriate, on a regular basis, assuring proper flow of information Is responsible for supporting staff that work remotely Manage in coming documentation and ensure it is routed to the co

Identify appropriate assignment of CPT and ICD 10 Codes for outpatient surgery, observation, CVIR, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts Understand the Medicare Ambulatory Payment

Conduct MS DRG and APR DRG coding reviews to verify the accuracy of DRG assignment and reimbursement with a focus on overpayment identification Expert knowledge of and the ability 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, ICD 10 Official

Oversee detailed data analytics and financial projections (e.g., MicroStrategy, Excel) and translate findings to operational stakeholders Perform project / program management activities, such as monitoring client scope, creating and tracking deliverables, creating status reports, identifying and mitigating risks, managing resource plans, and monitoring successful achievem

Lead the Case Management Operational teams for dedicated Optum client accounts for onsite delivery and outcomes. Accountable to meeting or exceeding operational and contract Service Level Agreements. Establishes and maintains service roadmaps to develop an integrated, innovative solution across all Care Management services. Provides input to consulting leadership for the

Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Identify appropriate assignment of CPT and ICD 10 Codes for outpatient sur

This is a remote position you may sit anywhere in the US 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 cul

Conduct applied research experiments, build and test machine learning and deep learning models Implement and design novel machine learning and deep learning approaches inspired by relevant literature Build robust machine learning pipelines to support production processes Implement online learning methods to optimize ML models in prospective pilot scenarios using approache

Responsible for greeting and welcoming patients in person. Provides a standard registration process by collecting demographic and financial data and enter information into an electronic medical record. Primary Responsibilities Greets and welcomes patient in person Collects demographic and insurance information Checks in or interviews patient to complete appropriate paperw

Create, manage, and respond to support tickets submitted by customers experiencing challenges with Contact center platform Provide exceptional omnichannel customer support by gathering and interpreting customer challenges Act as a technical liaison or subject matter expert in supporting cross functional issues Support the Technical Support Specialist in advanced trouble s

Come Join us at the upcoming Minnesota Part Time Job Fair on Wednesday, May 22, 2024 at 12 00pm 2 00pm CT RSVP to the Job Fair today https //uhg.hr/mn parttime jobfair $750 SIGN ON BONUS FOR EXTERNAL APPLICANTS Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. The work you do w

Coordinates the resolution of unpaid accounts. Receives and resolves calls from patients, insurance companies, attorneys, and departments. Obtains and processes payments. Collaborates with patients to create payment arrangements. Updates incomplete and missing account information. Documents collection activities. Other duties as assigned. You'll be rewarded and recognized

Resolves highly complex business problems that affect clinical processes and functional requirements Participates in the development of measurable clinical business, affordability, and quality goals Identifies and prepares recommendations for cross functional/cross CDO medical management process improvements and opportunities Leverages data from multiple sources and analy