RN Clinical Coding Nurse Consultant WellMed San Antonio TX

UnitedHealth Group

Full-Time
Closes on Friday, May 31, 2024

Job Description

Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree and Resolution rates, and FaxBack reporting to plan and provider groups Subject Matter Expert (SME) for all Risk Adjustment related activities within their assigned market(s) working within a matrix relationship which includes DataRAP operations and Regional/Market operations Assist in developing of training and analytical materials for Risk Adjustment Oversee DataRAP training and education delivery for Mega Groups via Provider education sessions and Physician Business Meetings / JOCs Lead Weekly, Monthly, Bi-monthly, Quarterly, and/or Annual Business Review meetings related to Risk Adjustment activities which summarize provider group performance and market performance as requested by or required by Market leadershipAnalyze and evaluate provider group structure and characteristics, provider group/provider office operations and personnel to identify the most effective approaches and strategies related to Risk Adjustment Analyze Provider and Group performance regarding Risk Adjustment and Focus on Care (FOC) to determine areas of focus or improvement opportunities. Develop solution-based, user friendly initiatives to support practice success Oversee market specific chart retrieval and review of PCP, Hospital, and Specialist records Work with DataRAP Senior Leadership on identified special projects

Full-Time sympOne_f9ccc9f2266f17b63fed1c825d1cd429 UnitedHealth Group
RN Clinical Coding Nurse Consultant WellMed San Antonio TX - 128163