Acute Facility ED Coder

UnitedHealth Group•Eden Prairie, MN

7d•$20 - $36•Remote

About The Position

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 Coder II is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS and other regulatory agencies. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

High School Diploma or equivalent required
Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Anatomy / Physiology, Medical Terminology and ICD-10 and CPT coding courses etc
Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P CPC or CPC-H)
2+ years of coding and abstracting experience or equivalent combination of education and experience required
2 years Emergency and Ancillary facility coding experience
Must have ICD-10 coding experience
Ability to use a PC in a Windows environment, including MS Word and EMR systems
Ability to pass all pre-employment requirements including, but not limited to: drug screening, background check, and coding technical assessment
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Experience with various Encoder systems (i.e., OptumCAC, Cerner)
Intermediate level of Microsoft Excel
Experience with coding and charge validation
Analytical / Critical thinking
Problem Solving
Knowledge and application of ICD-10-CM, HCPCS and CPT-4 classification systems
Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels
Knowledge of information privacy laws, access, release of information, and release control technologies
Knowledge of hospital protocols and procedures
Working knowledge of functional relationships between departments within a healthcare or similar environment
Knowledge of TJC, HIPAA, HCFA, Title 22, security principles, guidelines, and standard healthcare practices
Demonstrated competence with personal computers, networks, and Microsoft Office

Responsibilities

Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for ED admissions
Can code ancillary charts if needed
Review provider documentation to determine reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines
Provide documentation feedback to providers, as needed
Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures
Extract required information from source documentation and enter into encoder and abstracting system
Review documentation to verify and when necessary, correct the patient disposition upon discharge
Prioritize work to ensure timeframe of medical record coding meets established KPI’s
Serve as a resource for coding related questions as appropriate
Meet performance and quality standards at the Coder I level
Participate in department meetings and educational events
Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines
Assists with OSHPD correction
Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc