Optum is a global organization delivering care aided by technology to help millions live healthier lives. The Senior Medical Coder performs concurrent review of Fee-For-Service coding rules, ensuring CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This role supports coding functions within charge review, claim edits, and denials and is critical to maintaining coding accuracy and revenue cycle integrity.
Schedule: Monday to Friday, 8 AM - 5 PM
Location: Remote - Nationwide
Responsibilities include applying knowledge of diagnosis, procedural, evaluation and management, and ancillary services coding; interpreting clinical documentation; generating queries for unclear or incomplete documentation; utilizing coding software; applying coding guidelines; managing multiple coding tasks; resolving edits or denials; providing responses to coding audits; educating and mentoring others; understanding coding impact on revenue cycle; and other duties as assigned.
Required Qualifications:
- High School Diploma/GED
- Coding certification from AAPC or AHIMA (e.g., CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P)
- 3+ years coding experience including multiple specialties
- 1+ years family practice coding experience
- 1+ years revenue cycle experience
- Advanced knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding rules and medical terminology, disease process, anatomy, and physiology
Preferred Qualifications:
- Experience with Epic
Pay is hourly, ranging from $23.89 to $42.69 based on full-time employment, with a comprehensive benefits package and incentives offered. Employment is remote with adherence to UnitedHealth Group's Telecommuter Policy.
UnitedHealth Group is an equal opportunity employer committed to diversity and inclusion, health equity, and environmental responsibility.
- High School Diploma or GED
- Certified Medical Coder (e.g., CPC, RHIT, RHIA, CCS) from recognized professional bodies
- Minimum 3 years coding experience in multiple specialties
- At least 1 year of family practice coding experience
- Minimum 1 year revenue cycle experience
- Advanced knowledge of ICD-10-CM, CPT, Modifiers, HCPCS coding and medical terminology
- Ability to interpret clinical documentation and generate queries
- Experience with medical coding software and guidelines
- Strong multitasking and productivity skills
- Preferably experience with Epic electronic health record system
Comprehensive benefits package including incentive and recognition programs, equity stock purchase, 401k contribution, and career development opportunities.
Remote work flexibility within the U.S.
Equal Employment Opportunity employer committed to diversity, health equity, and environmental sustainability.
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
4 weeks ago