Optum is seeking a Senior Inpatient Acute Edits Medical Coder to support Optum360’s revenue management services. In this role, you will work remotely to correct CCI, MUE, and medical necessity edits, perform periodic coding, and ensure coding accuracy based on medical record documentation.
You will identify appropriate ICD-10-CM, ICD-10-PCS, and CPT codes for inpatient and outpatient services, apply official coding guidelines, provide documentation feedback to physicians, and help maintain high standards of coding quality and productivity. The position is full-time, Monday through Friday, with standard business hours and occasional overtime or weekend work as needed.
This role is telecommute-friendly and may be performed from anywhere within the U.S.
Required Qualifications
- High School Diploma or GED
- Professional coder certification from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P), maintained annually
- 3+ years of recent inpatient medical coding experience with ICD-10-CM/PCS and DRG in a hospital or facility setting
- 2+ years of recent experience with OCE, MUE, and NCCI classification and reimbursement structures
- Intermediate proficiency with a PC in a Windows environment, including MS Excel and EMR systems
- Intermediate experience working in a Level I trauma center and/or teaching hospital with mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
Preferred Qualifications
- Experience with OSHPD reporting
- Experience with encoder systems such as eCAC, 3M, and EPIC
- Intermediate proficiency with Microsoft Excel
Additional Notes
- All telecommuters must comply with UnitedHealth Group’s Telecommuter Policy
Benefits and Perks
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase plan
- 401(k) contribution
- Career development opportunities
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 months ago