Acute Facility AMBS/OBV Coder

UnitedHealth Group•Eden Prairie, MN

13d•$20 - $36•Remote

About The Position

The Coder III is a member of the Health Information Management Team responsible for the accuracy and completeness of clinical coding and validation of information in databases used for outcome management and specialty registries across the integrated healthcare system. The role applies diagnostic and procedural codes to patient health information records for data retrieval, analysis, and claims processing, while following the mission and policies of Dignity Health, TJC, CMS, and other regulatory agencies. The position codes Same Day Surgery, IVR, CIVR (specialty), and Observation admissions, and may also code ancillary or emergency department charts as needed. It is fully remote within the United States. The coder prioritizes work to meet coding timeframes and performance and quality standards, supports providers through documentation feedback and queries, and assists with revenue-cycle work such as charge validation and observation calculations. The role requires a high school diploma, completion of an AHIMA- or AAPC-accredited coding certification program, current AHIMA or AAPC credentials, and at least two years of relevant coding experience. The hourly pay range is $20.00 to $36.00 based on full-time employment. Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution, subject to eligibility requirements.

Requirements

High school diploma.
Completion of an AHIMA- or AAPC-accredited coding certification program that includes relevant courses such as anatomy and physiology, pathophysiology, pharmacology, medical terminology, and ICD-10 and CPT coding.
Maintain current AHIMA or AAPC coding credentials: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H.
At least 2 years of Same Day Surgery, Wound Care, IVR, CVIR (specialty), or Observation coding experience.
At least 2 years of ICD-10 coding experience.
Ability to use a PC in a Windows environment, including MS Word and EMR systems.
Ability to pass pre-employment requirements, including drug screening, background check, and coding technical assessment.
Telecommuters must adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Experience with encoder systems such as OptumCAC or Cerner.
Intermediate-level Microsoft Excel skills.
Experience with coding and charge validation.

Responsibilities

Assign codes for diagnoses, treatments, and procedures for Same Day Surgery, IVR, CIVR (specialty), and Observation admissions according to official coding guidelines.
Code ancillary and/or emergency department charts when needed.
Review provider documentation to determine the reason for visit, first-listed and secondary diagnoses, and surgical procedures.
Provide documentation feedback to providers and query physicians when appropriate.
Apply technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS codes as appropriate, and CPT-4 procedure codes.
Clarify diagnosis and procedural information through the established query process when necessary to ensure accurate coding.
Extract required information from source documentation and enter it into encoder and abstracting systems.
Review documentation and, when necessary, correct patient disposition upon discharge.
Prioritize work to ensure medical record coding meets KPI timeframes.
Serve as a resource for coding-related questions as appropriate.
Meet performance and quality standards at the Coder II level.
Follow AHIMA Standards of Ethical Coding and official coding guidelines.
Assist with OSHPD correction.
Participate in department meetings and educational events.
Perform other assigned duties that directly support reducing DNFB and Revenue Cycle, including charge validation and observation calculations.