UCare

Coding Analyst

7 days left

Employer
UCare
Location
Minneapolis, Minnesota
Posted
Sep 05, 2020
Closes
Sep 26, 2020
Ref
2086
Category
Healthcare
Employment Status
Full Time
Health Care that Starts with You!

Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs.

UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.

Rewards

Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.

At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

www.ucare.org/careers/

EOE/AA

ABOUT UCARE

UCare offers Medicare, Medicaid, Individual and Family health plans - powered by the hardest working people in the industry. Our people powered teams de-complicate, advocate and always go the extra mile to help our members. We serve with integrity, compassion and commitment to do right by members, providers and government partners. Above all, we come to work excited to provide members a path for the best health of their lives.

WORKING AT UCARE

Working at UCare is more than a career; it's a mission. A mission that defines us as professionals, unites us as an organization and shapes how we interact with our members and each other. Employees join UCare and stay because of the opportunity to have a purpose-driven job.

Our strong culture has established UCare as a Star Tribune Top 150 Workplace for 11 consecutive years since the awards program began. It's a culture that embraces innovative ideas, strategic partnerships, and exemplary customer and provider experiences. Working at UCare is being a part of a people powered team dedicated to making a real difference in the lives of our members and communities.

CODING ANALYST

Position Description

This position is responsible to collaborate with Configuration & Claims Operations staff and leaders to enhance operational effectiveness and efficiency by identifying opportunities for automation of existing manual claims processes. Monitor, research and disposition coding and provider appeal queue service forms to resolve CES edit flags and coding pends to ensure appropriate adjudication of claims. Serve as a subject matter expert and provide information and education on coding and coding-related issues. Research and resolution of complex claim and reimbursement issues.

• Identify and analyze coding changes as they relate to accurate claims processing. Minimize rework by ensuring stakeholders are aware of and understand changes and impact on individual lines of business.

• Process service forms in coding queues accurately and consistently to maintain expected SLA's. Serve as a primary resource for coding issues related to claims adjudication.

• Assist in the development of training and education materials for providers. Present focused education for providers as needed to minimize claim denials and unnecessary rework.

• Participate in and represent coding in internal UCare work groups and committees. Participate in UCare Coding Community of Practice.

• Collaborate with key internal departments to manage and resolve complex claim issues, maximize operational effectiveness, support automation and reduce duplication of effort and re-work.

• Collaborate with Operations Training to ensure work instructions impacted by coding changes are identified and updated in a timely manner

• Assist in the management of the Coding Request Board to resolve coding questions and to complete coding-specific projects

• Other projects and duties as assigned.

Education

High school or equivalent. Current and valid certification as a professional coder from an accredited institution.

Required Experience

Three years of experience as a certified coder in a healthcare delivery setting, health insurance (payer) setting or Medicare and/or Medicaid setting.

Preferred Experience

Microsoft Word, Excel and PowerPoint skills. Optum Claims Editing Software (CES) - professional and facility. Macess EXP. Amisys and/or HealthRules experience.

THE UCARE DIFFERENCE

The UCare difference is our people power - employees actively working on the behalf of our members to get them access to the health care they need. We value and respect each individual's ideas and contributions, and provide the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, and a myriad of volunteer activities. If you're looking for an inclusive environment that celebrates your people power, helps you build on your strengths and gives you the opportunity to truly make a difference, we invite you to apply.

As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.

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