01Responsibilities
Coordinate with CDI program lead India (Associate Director) in driving workflow for CDI staffAssist and coordinate with CDI staff training and orientationAssists CDI program lead India (Associate Director) with chart audits, quality audit and KPI auditsEnsures adequate staffing for the workload, and steps in to assist teams when workload is in excess of what the team can completeDevelops physician teaching and presentations whenever neededAssist CDI program lead with projects or tasks as neededTime card approvalEvaluations on regular basis of the team to make sure quality of the team is maintainedCommunicates performance expectation of leadership to staff level CDI staffOversees that CDI staff are providing expert level review of inpatient clinical records within 24-48 hours of admitBe able to identify gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the patient condition and acuity of care providedEnsures and oversees daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificityProvides support for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating the rational for the recommendationsEnsures timely feedback to providers regarding clinical documentation opportunities for improvement and successesEnsures effective utilization of the CAC / Midas Clinical Documentation Improvement Focus Study, ensuring documentation of all verbal, written, electronic clarification activityUtilizes only the approved forms for raising physician queries, whether paper or electronicProactively fosters a collaborative, reciprocal relationship with Medical Coding Professionals to resolve discrepancies through clinical validation.Coordinate and conduct regular meeting to monitor retrospective query rate and address issuesEngages with domestic team partner/manager when needed in regular calls, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement processActively engages with the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunitiesComply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do soRequired Qualifications:
MBBS (Indian or Foreign Medical Graduate)1+ years of experience with corporate especially US healthcareSolid understanding of Microsoft, Word, Excel, and work-related software
Preferred Qualifications:
MBBS (Indian/FMG) degreeSupervisor or Management experienceExperience in case management and/or critical careExperience with EHR/EMRProven ability to projects with complex responsibilities and timelinesProven excellent verbal and written skills including solid organizational skillsProven ability to multi-task
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.
