Do NOT tie to this req, please email submittals to UHG@roseint.com and we will tell you the req to tie your candidate to!
This is a remote role, but due to employment costs, please stay away from candidates in California
Technical Overview
This role supports the client's Prospective PAF program by reviewing medical records to ensure coding accuracy and quality. The analyst validates coding rejections, identifies records requiring additional review, and helps reduce operational backlogs. Candidates will work remotely on a collaborative quality assurance team focused on accuracy, productivity, HIPAA compliance, and continuous process improvement.
Sprint Questions
Tell me about your experience reviewing medical records and the types of records you've worked with.
Describe a quality assurance process you've followed to identify errors or ensure accuracy.
Walk me through how you've balanced quality expectations while meeting daily production goals.
Explain the systems and Microsoft Office applications you've used in previous roles and how you utilized them.
Describe your experience working remotely and how you stay productive while managing confidential information.
SUBMITTAL SHOULD INCLUDE:
Two Digit Birth Month/Two Digit Birth Day/last 5 of SSN/First two letters of their first name
CLIENT: UHG
JOB TITLE: Healthcare Quality Analyst – Medical Records Review
JOB ID: UHgJP00121949
DURATION: 12 Months
HOURS: Day Shift, 8:00 AM – 4:30 PM CST
LOCATION: Remote
BILL RATE: $30.97/hr
SUGGESTED PAY: $22/hr
Required Education:
High School Diploma or Equivalent
Preferred Education:
Associate's Degree
Required Skills and Experience
1+ years of quality assurance experience
Experience reviewing different types of medical records
Experience working in a production environment
Ability to learn multiple work types and apply multiple levels of actions within each work type
Strong verbal, listening, and written communication skills
Strong attention to detail
2+ years of intermediate proficiency with Windows PC applications and Microsoft Office products
Ability to learn new and complex computer system applications
Experience working in a remote/virtual environment
Preferred Skills
Additional healthcare industry experience
Experience supporting medical coding quality or medical record validation
Experience working in quality assurance within healthcare operations
Job Duties
Perform quality reviews of medical records using established criteria to ensure accuracy.
Validate coding rejections against medical documentation.
Identify charts requiring second-level review while meeting productivity expectations.
Maintain confidentiality and protect PHI in accordance with HIPAA requirements and company policies.
Participate in meetings and attend all required training sessions.
Adhere to team expectations by consistently applying quality assurance best practices.
Stay current on policies, procedures, and process updates.
Utilize Windows-based applications and Microsoft Office to complete daily work.
Navigate multiple systems while efficiently learning new computer applications.
Typical Day
Review medical records for coding accuracy.
Validate rejected coding decisions.
Determine whether records require additional quality review.
Work within multiple systems while meeting productivity goals.
Attend team meetings and training sessions.
Collaborate with experienced quality analysts.
Ensure HIPAA compliance throughout all work activities.
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
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