Senior Medical Coder
Job
UnitedHealth Group
Remote
$69,243 Salary, Full-Time
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Job Description
Requisition number: 2360324 Job category: Medical & Clinical Operations 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity.
Schedule:
Monday to Friday, 8 AM- 5
PM Location:
Remote- Nationwide You will enjoy the flexibility to telecommute
- from anywhere within the U.
Primary 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 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications + High School Diploma/ GED + Coding certification fromAAPC or AHIMA Professional Coding Association:
( CPC , CPC- H, CPC
- P, RHIT , RHIA , CCA , CCS , CCS
- P etc.) + 3+ years of coding experience including with multiple specialties + 1+ years family practice experience + 1+ years rev cycle 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 Preferred Qualifications + Epic experience
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Application Deadline:
This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes- an enterprise priority reflected in our mission.
- free workplace.
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