Medical Coder

UnitedHealth Group-posted 7 months ago

$19 - $38/Yr

Full-time • Entry Level

Remote • Eden Prairie, MN

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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. The Medical Coder performs concurrent review of FFS coding rules in RCX program. Ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. Additionally, the coder reviews denial inquiries from A/R reps as well as tasking providers for documentation amendments and corrections. 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 in a timely basis
Utilize medical coding software programs or reference materials to identify appropriate codes
Post-query response to make final 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
Ability to meet quality standards of 95% accuracy or better

Previous Revenue Cycle experience
Knowledge of Anatomy and Medical Terminology
Excellent understanding of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
Excellent understanding of medical terminology, disease processes and anatomy and physiology

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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