Receive assigned provider inquiries and perform a code review on both professional and facility claims Make determinations on cases after a coding review is complete Review various edits on cases and complete audit of medical records received to ensure proper editing is applied Review medical charts electronically Abstract and code diagnosis and procedures from the medica

include but not limited to Suturing (some facial) Splinting Initial interpretation with digital X Rays Injections (MA may not be available) STD's Incisions and drainage Pediatric care What makes an OptumCare organization different? Providers are supported to practice at the peak of their license Patients are treated like family we focus on helping patients get in, get heal

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Greets patients as they arrive and manage appropriate standard wait times Complete check in and check out tasks to include insurance verification, complete pre authorizations and/or precertification of procedures, and copy required documents Collects co payments, co insurance, and deductibles and issues receipts Manages cashier box and daily deposits according to company

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

A partner of the Optum Care network, WellMed Medical Group, is seeking an internal medicine or family medicine physician to join our WellMed at Ingram in the San Antonio TX MSA. At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and start doing your life's best work.

Reviews the patient history in ePRG for contraindications to FOC screening procedures Rooms patients according to company standards Performs all nursing care duties within the scope of a Licensed Practical Nurse, including DPN testing, Quantaflo testing, spirometry testing, administration of the PHQ9, DRE examinations, phlebotomy, administration of FOBT/FIT tests, schedul

Performs all duties within the scope of a Medical Assistant's practice. Operates diagnostic equipment (cannot interpret tests), remove staples from superficial wounds, changes wound dressing and obtains cultures, administers non intravenous medication, performs simple specimen collection via noninvasive techniques and collects blood specimens via venipuncture or via capil

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

Conducts audit reviews of Organization Determinations, Adverse Determinations and Notice of Medicare Non Coverage documents (NOMNC) and Detailed Explanation of Non Coverage (DENC) documents to assure accuracy and compliance with UM health plan, CMS, NCQA, URAC and Department of Insurance guidelines Utilizes audit tools to perform documentation audits on job functions with

A partner of the Optum Care network, WellMed Medical Group, is seeking a float nurse practitioner or float physician assistant to practice in several clinics in a geographic area as part of a collaborative team. At Optum, we are transforming healthcare nationally while providing Physician led care locally. Work with the largest care delivery organization in the world and

Conduct in home assessments including an evaluation of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam Perform evidence based practice screenings including point of care testing (as appropriate) Identify diagnoses to be used in care management and active medical management in the furtherance of treatment For

$40,000 Student Loan Repayment Or $20,000 Sign on Bonus For Individuals who Have Not Previously Participated In This Program Please Note This role requires car travel to member homes in both Randall and Potter counties. Mileage and tolls reimbursed. Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care.