Medical Coder
About The Position
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 Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. Schedule: Monday to Friday, 8 AM- 5 PM Location: Remote Nationwide You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Requirements
- High School Diploma/GED (or higher)
- Coding certification from AAPC or AHIMA Professional Coding Association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.)
- 3+ years of coding experience
- Advanced level of knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
- Advanced level of knowledge of medical terminology, disease process and Anatomy and Physiology
- Must be task oriented and able to meet designated deadlines and productivity standards
Nice To Haves
- Epic experience
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Responsibilities
- Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
- Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
- Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
- Follow up with providers as necessary when responses to queries are not provided in a timely basis
- Utilize medical coding software programs or reference materials to identify appropriate codes
- Apply post-query response to make final determinations
- Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
- Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
- Resolve medical coding edits or denials in relation to code assignment
- Provide information or respond to questions from medical coding quality audits
- Educate and mentor others to improve medical coding quality
- Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
- Other duties as assigned
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
