Change Healthcare-posted 7 months ago
$19 - $38/Yr
Full-time • Entry Level
Remote • Plymouth, MN
Professional, Scientific, and Technical Services

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 Ambulatory Observations (SDS) Certified Medical Coder position is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work our business hours and will have the opportunity to choose between Tuesday - Saturday or Sunday - Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional weekends and overtime. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

  • Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
  • Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits
  • Understand the Medicare Ambulatory Payment Classification (APC) codes
  • Abstract additional data elements during the chart review process when coding, as needed
  • Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
  • Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
  • Provide documentation feedback to providers, as needed, and query physicians when appropriate
  • Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
  • Participate in coding department meetings and educational events
  • Review and maintain a record of charts coded, held, and / or missing
  • Additional responsibilities as identified by manager
  • High School Diploma / GED (or higher)
  • Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)
  • 2+ years of Outpatient Facility coding experience
  • 2+ years of ICD-10 experience
  • Intermediate level of proficiency in a Windows environment, including MS Excel and EMR systems
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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