Audit and Recovery Analyst- Remote

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real content. Remove boilerplate, navigation, EEO, etc. Keep all substantive info. We need to parse the posting. Let's extract sections: - Intro paragraph about Optum: "Optum is a global organization...". That's about the role? Could be "About the role" or "About Optum". We'll treat as "About the role". Use

About the role

then

with that paragraph. - Then description of Audit & Recovery Analyst position: "The Audit & Recovery Analyst position is to participate...". Could be part of responsibilities or overview. Might be part of "About the role". We'll include in same paragraph. - Then "You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges." This is about remote work, could be part of "Schedule" or "Benefits"? It's about work arrangement. Could be part of "Schedule" (remote flexibility). But we only create Schedule if posting actually states schedule details. It mentions remote flexibility, not specific schedule. Might be considered Schedule? The instruction: never create Pay/Schedule/Benefits sections unless posting actually states them. It states remote flexibility, which is about work location, not schedule. Might be considered under "Benefits"? Not exactly. Could be omitted or placed in "About the role". Safer to include in About the role paragraph. - Then "Primary Responsibilities" heading in source. We'll create

Responsibilities

then

• each bullet. List of responsibilities: - Maintain understanding of procedural codes and the documentation required to verify services and substantiate payment - Assist in the development and implementation audit and the related activities including printing and preparing letters requesting medical records, completion of the prepared audits and processing and completing appeals of adverse determinations of payment - Performs other projects, tasks and duties as assigned by management, professional committees and/or facilitate said processes - Ability to interface with supporting departments regarding the implementation of audit and recovery issues such as committee activities, appeals and changes in clinical submission - Participation in policy development - Be able to field questions from providers regarding the purpose and right of Optum Physical Health Solutions in conducting medical records audit - Ability to solve problems and deal with a variety of specific variations in situations where only limited standardization exists - Become familiar with the interaction with ODAR and completing the appeals of overpayment determinations - Demonstrate effective written and oral communication skills - Maintain positive and productive relationships with provider community, clinical staff, and all other personnel - Accurately record all verbal communications with providers into communication log database - Ability to interact with audit and recovery staff in the completion of audit related activities - Ability to effectively present information and respond to questions from providers, audit and recovery staff, management, and other employees - Working knowledge of various software applications to perform the requirements of the position We need to ensure each bullet is a
• . - Then "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." This is about benefits/recognition. Could be part of Benefits or maybe a separate section like "Rewards and Recognition". But we only have Benefits heading allowed. We'll include under Benefits. - Then "Required Qualifications" heading: list: - Undergraduate degree in specialized Physical medicine from an accredited college or university - Current Licensed or Certified Physical Therapist or Chiropractor with state-licensing agency We'll put under

  Requirements

  or

  Qualifications

  . The instruction says use headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have both Required Qualifications and Preferred Qualifications. We could combine into Requirements (mandatory) and maybe Skills (preferred). Let's decide: Use

  Requirements

  for required qualifications. Use

  Preferred Qualifications

  for preferred qualifications (though not in list of allowed headings? It says we can use headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. "Preferred Qualifications" not listed but could be under Qualifications? Might be okay to use Qualifications heading for both required and preferred? But we need to avoid filler. We could put required under Requirements, preferred under Qualifications (since Qualifications is allowed). Or we could put both under Requirements and note preferred. Let's follow:

  Requirements

  for required.

  Preferred Qualifications

  for preferred (though not exactly in list but seems reasonable). The instruction: "Use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., not exhaustive. So we can use Preferred Qualifications as a heading. It's okay. Preferred qualifications list: - Clinical practice experience - Thorough detailed working knowledge of procedural coding and the required supporting documentation - Proven solid decision-making skills involving clinical and administrative data - Then "All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy". This is a note about remote work policy. Could be under Benefits or maybe under About the role. We'll include in About the role paragraph or maybe under Benefits as a note. But it's not a benefit, it's a requirement. Could be under Requirements? Might be better to include in About the role paragraph. - Then "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." Then "In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." Then "No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives." Then "The salary for this role will range from $72,800 - $130,000 annually based on full-time employment." Then "We comply with all minimum wage laws as applicable." Thus we have Pay and Benefits content. We need to create

  Pay

  with paragraph about salary range and factors. We need

  Benefits

  with paragraph about comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution, plus note about eligibility, plus maybe mention of remote work flexibility? But remote work flexibility is not a benefit per se but could be included. We'll include the benefits paragraph. We should not include Schedule section because no specific schedule info. We must remove boilerplate: EEO, drug free workplace, application deadline, mission statements, etc. Also remove "Application Deadline: This will be posted for a minimum of 2 business days..." etc. Also remove "At UnitedHealth Group, our mission is..." etc. Also remove "UnitedHealth Group is an Equal Employment Opportunity employer..." etc. Also remove "UnitedHealth Group is a drug - free workplace." etc. We must preserve all substantive information: keep the description of role, responsibilities, qualifications, pay, benefits, remote work flexibility note, telecommuter policy note. Let's craft HTML. Structure:

  About the role

  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Audit & Recovery Analyst position is to participate with the audit and recovery team in the timely implementation and completion of audit initiatives, and the related activities. Analyze, evaluate, and perform timely audits based on Optum policies and consistent with the nationally published guidelines regarding procedural documentation. Address provider calls regarding the audit process. Strong decision-making skills involving medical record documentation and minimum medical record documentation requirements. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

  Then Responsibilities.

  Responsibilities

  • Maintain understanding of procedural codes and the documentation required to verify services and substantiate payment
  • Assist in the development and implementation audit and the related activities including printing and preparing letters requesting medical records, completion of the prepared audits and processing and completing appeals of adverse determinations of payment
  • Performs other projects, tasks and duties as assigned by management, professional committees and/or facilitate said processes
  • Ability to interface with supporting departments regarding the implementation of audit and recovery issues such as committee activities, appeals and changes in clinical submission
  • Participation in policy development
  • Be able to field questions from providers regarding the purpose and right of Optum Physical Health Solutions in conducting medical records audit
  • Ability to solve problems and deal with a variety of specific variations in situations where only limited standardization exists
  • Become familiar with the interaction with ODAR and completing the appeals of overpayment determinations
  • Demonstrate effective written and oral communication skills
  • Maintain positive and productive relationships with provider community, clinical staff, and all other personnel
  • Accurately record all verbal communications with providers into communication log database
  • Ability to interact with audit and recovery staff in the completion of audit related activities
  • Ability to effectively present information and respond to questions from providers, audit and recovery staff, management, and other employees
  • Working knowledge of various software applications to perform the requirements of the position
  Then maybe a section for "Rewards and Recognition" but we can incorporate into Benefits. Next Requirements.

  Requirements

  • Undergraduate degree in specialized Physical medicine from an accredited college or university
  • Current Licensed or Certified Physical Therapist or Chiropractor with state-licensing agency
  Preferred Qualifications.

  Preferred Qualifications

  • Clinical practice experience
  • Thorough detailed working knowledge of procedural coding and the required supporting documentation
  • Proven solid decision-making skills involving clinical and administrative data
  Pay.

  Pay

  Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

  Benefits.

  Benefits

  In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives.

  We also have a sentence: "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." This could be added to Benefits paragraph or as its own sentence. Let's incorporate into Benefits paragraph after the first sentence. Thus Benefits paragraph: "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