Hybrid Healthcare Performance & Quality Analyst

UnitedHealth Group; San Diego (CA); Hybrid; Confidential; Full time

Benefits offered by this job

Paid Time Off

Medical Plan Options

Dental & Vision Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus

Job summary

UnitedHealth Group is seeking a Performance Analyst in San Diego to review charts, code diagnoses, and support quality and performance initiatives. The role sits on the Performance and Risk Adjustment team and requires coding certifications and healthcare experience.

The position is hybrid, with onsite training and periodic office visits, and offers comprehensive benefits and a path for career growth within a Fortune 6 leader in health services.

Qualifications

• 2+ years of experience in the healthcare industry.
• 1+ years of experience working with CPT and ICD-10 codes and reading claims forms/reports.
• Access to reliable transportation and ability to come onsite to San Diego office, as needed.

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 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 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.

Skills

CPT coding

ICD-10 coding

Healthcare experience

AHIMA/AAPC cert

Tools

Microsoft Office

Job description

UnitedHealth Group is seeking a Performance Analyst in San Diego to review charts, code diagnoses, and support quality and performance initiatives. The role sits on the Performance and Risk Adjustment team and requires coding certifications and healthcare experience.

The position is hybrid, with onsite training and periodic office visits, and offers comprehensive benefits and a path for career growth within a Fortune 6 leader in health services.