The Clinical Documentation Educator (RN)

Opportunities with Optum. When you work at Optum, your contributions directly sustain the health and well-being of our community. Discover high levels of teamwork, robust medical resources and a deep commitment to exceptional care and service. Join a leading community-based medical group and discover the meaning behind Caring. Connecting. Growing together. 

The Nurse Clinical Educator (Risk Adjustment) will be responsible for the day-to-day management of Clinical Documentation programs, initiatives, and reporting as well as for Risk Adjustment activities for providers. In the Nurse Clinical Educator role, you would provide support to the teams implementing and reporting on these programs. The main initiatives for the Clinical Educator will be provider education, chart review, and ensuring accurate clinical documentation across the organization.

Position Details:

• Location: 3 Farm Glen Boulevard, Farmington, CT, 06032. This position is mostly telecommute, however does require onsite presence in Farmington CT on an as needed/monthly basis
• Department: Clinical Documentation Quality Improvement
• Schedule: Full time, 40 hours/weekly, Monday through Friday, hours between 8:00AM – 5:00PM

Primary Responsibilities:

• Work collaboratively with Clinical and technical resources to ensure Clinical Documentation programs are effective and reporting is completed to meet deadlines requirements 
• Weekly touch points with providers and practice site resources to support Clinical Documentation and Risk adjustment programs and reporting 
• Manage and Monitor programs participation and outcomes 
• Plan, conduct and coordinate all aspects of RA (Risk Adjustment) process evaluation and education to internal partners 
• Communicating a comprehensive understanding of Risk Adjustment, Documentation & Coding guidelines 
• Analyze reports to identify and report documentation/coding trends to create opportunities for improvement with internal partners 
• Ensure provider documentation and diagnostic code selections are appropriate and recommend improvements as necessary 
• Continually assess the knowledge and appropriate application of ICD-10 documentation and coding guidelines 
• Leverage reporting benchmarks and Risk Adjustment success measures to prioritize efforts 
• Demonstrate a professional and effective face to face communication style and address issues as they arise 
• Act as a Subject matter expert on Risk platforms and tools

This is a full time position with: 

• Full Medical Benefits
• Paid Time Off
• Holidays
• 401k with company match
• Employee Stock Purchase Plan
• Employee Discount Program
• Tuition Assistance Program
• Fully Paid Training

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.

Required Qualifications:

• Current, unrestricted RN license for the state of Connecticut
• 3 years of clinical practice experience (acute or medical office setting)
• Experience with Microsoft applications such as Word, Outlook, Excel and PowerPoint
• Ability to travel within Connecticut offices to conduct on-site education sessions

Preferred Qualifications:

• BSN or MSN
• CPC or CRC certification
• 5 years of clinical practice experience (acute or medical office setting)
• 2 years of experience working with commercial risk adjustment
• Experience using EPIC EMR
• Billing and coding OR medical office management experience
• Familiarity with outpatient / inpatient billing processes
• Solid understanding of coding principles 
• Proven excellent facilitation, consulting, and delivery of complex content

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $59,500 to $116,600 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Salary : $1,000 - $1,000,000