Senior Clinical Trainer/Quality Audit - Eden Prairie, MN Job in Eden Prairie, MN 55346

Title: Senior Clinical Trainer/Quality Audit - Eden Prairie, MN
Location: MN-Eden Prairie
Ingenixis part of the family of companies that makeUnitedHealth Groupone of the leaders across most major segments of the US health care system.
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.

Position Description:
Positions in this function are responsible for training Investigators and Clinical Investigators. Training includes and is not limited to interpretation and review of medical records, CPT codes, Reimbursement policies (for UHC, PSMG, and external clients), medical policies, and utilization of our case tracking system and applications. Each month the Clinical Trainer/QA will review a percentage of each Investigator and Clinical Investigator's (approx. 50 people) cases for accuracy. Through quality trending, identify areas for training and develop new or revised training modules that address these areas.
Primary Responsibilities:
* Assist with Clinical analysis and feedback of suspected fraud and waste algorithms
* Respond to internal and external customer requests for training and develop training modules, web-ex presentations, or class room instruction to full fill these requests
* Provide input and expertise in the development of new products and/or processes
* Be Clinical SME to internal and external clientsBring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.
Qualifications:
Requirements:
* 2 year of experience as a RN with classroom training experience or m
Qualifications:
Requirements:
* 2 year of experienceust be RHIT or RHIA certified through AHIMA with classroom experience
* Must be familiar with working with claim payment platforms
* Microsoft Word, Excel and PowerPoint experience is required
* Undergraduate degree is required
*
Assets:
* Knowledge of Medicare/Medicaid regulations is preferred
* Auditing experience would be a plus
* CPT Coding knowledge would be a plus
* Web-ex or computer based training experience is a plus
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.