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.
Primary Responsibilities
- Apply understanding of relevant medical coding subject areas (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 on 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 productivity and turnaround times for completing medical records
- 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 knowledge of the impact of coding decisions on revenue cycle
- Other duties as assigned
Required Qualifications
- High School Diploma/GED
- Coding certification from AAPC or AHIMA (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P, etc.)
- 2+ years of coding experience
- 1+ years of family planning experience
- Advanced knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classifications and guidelines
- Advanced knowledge of medical terminology, disease process, Anatomy and Physiology
Preferred Qualifications
- Epic experience
- Adherence to UnitedHealth Group's Telecommuter Policy for all telecommuters
Pay is based on multiple factors including local labor markets, education, work experience, and certifications. Hourly pay range for full-time employment is $20.38 to $36.44 per hour.
UnitedHealth Group is an Equal Employment Opportunity employer, committed to diversity and inclusion.
Candidates must pass a drug test before employment.
- High School Diploma or GED
- Coding certification (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P, etc.) from AAPC or AHIMA
- Minimum 2 years coding experience
- At least 1 year family planning experience
- Advanced knowledge of ICD-10-CM, CPT, Modifiers, HCPCS
- Strong knowledge of medical terminology, anatomy, and physiology
- Preferred: Experience with Epic
- Must adhere to telecommuter policy
Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution (subject to eligibility)
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago