Medical Coder

UnitedHealth Group-posted 8 months ago
$19 - $38/Yr
Full-time • Entry Level
Remote • Largo, FL
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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. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

  • Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines.
  • Understand relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes.
  • Understand 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 on a timely basis.
  • Utilize medical coding software programs or reference materials to identify appropriate codes.
  • Post-query response to make final determinations.
  • Utilize 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.
  • Attain and/or maintain relevant professional certifications and continuing education seminars as required.
  • Utilize and navigate across clinical software applications to assign medical codes or complete reviews.
  • High School Diploma/GED (or higher).
  • Coding Certification from AAPC or AHIMA professional coding association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.).
  • 1+ years of coding experience.
  • Advanced level of proficiency with ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines.
  • Advanced level of proficiency with medical terminology, disease process and anatomy and physiology.
  • Previous Revenue Cycle experience.
  • Must be task oriented and able to meet designated deadlines and productivity standards.
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays.
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account.
  • Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage.
  • 401(k) Savings Plan, Employee Stock Purchase Plan.
  • Education Reimbursement.
  • Employee Discounts.
  • Employee Assistance Program.
  • Employee Referral Bonus Program.
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.).
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