3 days old

Medical Records Reviewer Austin Texas

Austin, TX 78701
  • Job Code
    858944

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 and help people live healthier lives while doing your life's best work.(sm)

The Medical Records Reviewer is expected to work directly with physicians and mid-level providers to proactively review medical records and other clinical documentation to identify possible risk adjustment codes. The major focus of this position will be to collect and review documents to support physician's healthcare management and the company's risk adjustment initiatives.


This position is located in Austin, Texas and will require local travel to as necessary to complete off-site data mining and screening exam duties

Primary Responsibilities:

  • Review medical record documents and other clinical documentation in provider's charts to identify possible risk adjustment codes
  • Educate practitioners/clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process
  • Manage multiple provider office reviews simultaneously and collaborate with supervisor and office administrator to ensure clarity of review and to allow feedback from the provider office
  • Track, report, and monitor code-submissions using program forms and processes
  • Coordinate with supervisor to develop and present reports of medical record reviews to present to physician's office staff
  • Progress relationship with Provider's office to allow on-site screening if required in order to help physician meet quality program goals and potential need for RAP initiatives in each office
  • Analyze errors in submission sent to quality department by physician office and notify Supervisor for process improvement plan
  • Performs all other related duties as assigned

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.


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Posted: 2020-06-29 Expires: 2020-07-29

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Medical Records Reviewer Austin Texas

UnitedHealth Group
Austin, TX 78701

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