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Job Details

UnitedHealth Group

Coding Trainer and Educator - Telecommute (107107558)

Sales and Marketing

Printing and Publication Sales



Louisville, Kentucky, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Risk Adjustment Coding Educator provides coding and documentation education from a coding perspective with a focus on the CMS Risk Adjustment model to clinicians, coders, and coding documentation improvement specialists, auditors, educators and managers who perform coding and quality initiatives

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Facilitate & Deliver collaborative coding resources
    • Collaborate and facilitate coding resources and relevant training with team manager
    • Collaborate with Coding Operations on new hire and targeted coding and resource training
  • Coding/Documentation Education
    • Collaborates with Coding, Education & QA Operations leadership to obtain trends/gaps in Coder Audits for education and resource topics
    • Collaborates with Coding Operations leadership and delivers training sessions as required for Optum Coding Policy Guideline updates and changes
    • Collaborate with Coding Operations Compliance & Quality to develop and deliver continuing education
    • Assist in developing/ delivering Annual ICD-10 updates - Post to LearnSource - Post learning assessment and apply for CEU from AAPC
    • Develops and delivers monthly Coder EDU topics –Auditors/Coders/CDI/Educators o Conducts weekly IRR for Coding team by collaborating with QA on identifying necessary encounter visits for IRR review
    • Assists with scoring and collating results and provides weekly group feedback to coding teams
    • Collaborate with Education Team to design, develop, and publish coding/documentation educational materials, based on results, trends, coding gaps
    • Apply adult learning principles using a wide variety of instructional methods and media to deliver technical content
    • Works with minimal guidance, seeks guidance on only the most complex tasks o Analyze data and develop training programs based on the data
    • Work collaboratively with internal business partners to enhance coding education program
    • Participate as an active member on the Optum corporate coding education committee o Maintain knowledge of CPT/Evaluation and Management Guidelines

You’ll 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 development for other roles you may be interested in.

Required Qualifications:

  • Undergraduate Degree or equivalent education or years of experience directly related to the duties and responsibilities
  • Coding Certification from AAPC or AHIMA professional coding association (CPC, CPC-H, CPC-P, RHIT, RHIA, CCS, CCS-P)
  • 3+ years coding experience in assignment of ICD-10 and CPT/Evaluation and Management coding
  • 2 years of experience in clinical documentation improvement queries
  • 2+ years of experience with Medicare Advantage - Risk Adjustment HCC model
  • 2 years of experience developing and delivering coding education/training, designing user guides, powerpoint, participant/facilitator guides and job aides
  • Experience and ability to learn new computer applications, including: EMR(s) and other software programs
  • Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology and concepts of disease processes
  • Understanding of local and federal regulatory agency guidelines regarding coding and documentation and submission and areas of scrutiny for potential areas of risk for fraud and abuse regarding coding and documentation
  • Ability to work autonomously to meet established deadlines with limited supervision.
  • Communicates in a clear and understandable manner; exercises independent judgment
  • Ability to provide comprehensive communication of CMS Coding Guidelines to providers
  • Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC
  • Microsoft Office proficiency (Word, Excel, PowerPoint & Outlook)

Preferred Qualifications:

  • College degree in a health-related field
  • Certified Clinical Documentation Improvement Specialist Credential from ACDIS/AHIMA ICD-10-CM AHIMA approved trainer
  • Experience leading projects
  • Experience in medical record review
  • Development and delivery of ICD documentation and coding education to medical audience
  • Knowledge/familiarity with adult learning concepts
  • Exemplary attention to detail and completeness

CLL- Practices for Success

  • Resilience & Resourcefulness
  • Fostering Innovation
  • Achievement Drive
  • Critical Thinking
  • Being Customer-Centric
  • Managing Team Structures, Operations &
  • Collaborating Processes
  • Cultivating Team Engagement
  • Acquiring, Assessing & Deploying Talent
  • Communicating Effectively
  • Decision Making
  • Creating High-Performing Teams
  • Using Resources
  • Facilitating Execution Plans
  • Assuring Results

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care 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)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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

Diversity creates a healthier atmosphere: 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.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning