Performance Analyst - Hybrid in San Diego
About The Position
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Member of the Performance and Risk Adjustment team. Conducts chart review to code for diagnoses and quality. Monitors performance and participates in improvement initiatives in conjunction with Provider Relations, health plans and providers. 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.
Requirements
- Coding certifications from either AHIMA or AAPC
- 2+ years of experience in the healthcare industry
- Experience working with CPT and ICD-10 codes and reading claims forms/reports
- Knowledge of managed care concepts and healthcare delivery systems
- Understanding of health insurance industry and products
- Solid computer literacy, including competence with database and spreadsheet programs
- Microsoft Office products familiarity
- Demonstrated ability to work with changing priorities and varying deadlines
- This is a hybrid role Candidates will be required to come into our San Diego office 1-2 per month
- Candidates will need to be based in Southern California
- Willing or ability to work 4/10 schedule ( 6:30am PST – 5:00pm PST, Monday- Thursday)
Nice To Haves
- Based in San Diego, CA
- Proven excellent organizational and interpersonal skills
- Proven organized self-starter with good follow-through
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Responsibilities
- Generates reports for department workflow, production, quality monitoring and performance improvement
- Participates in formulating improvement initiatives/solutions and assists with execution
- Reviews AWVs and other charts for HCC diagnoses and quality codes and processes them into the tracking programs
- Recommends training opportunities and participates in provider training as needed
- Audits and interfaces with outside coding vendors
- Participates in webinars, conferences and conducts research as needed to stay abreast of IHA/NCQA/CMS requirements
- Serves as the user expert for software systems
- Audits software accuracy from time to time and participates in testing
- Attends user meetings and reports systems issues to the vendor
- Tracks and submits audit data for program compliance
- Performs other duties as assigned
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
