Medical Coder

UnitedHealth Group•Auburndale, MA

1d•$20 - $36•Remote

About The Position

As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Requirements

High School Diploma/GED
Certifications under CPC, CCS-P, or CPC-A
2+ years of physician-based coding experience

Nice To Haves

2+ years of experience with ICD-10, CPT and HCPCS coding
Multi-specialty office-based coding experience preferred
Previous EPIC experience
Certified Coder - Billing and Coding
Proficiency with Microsoft software (including Outlook, Teams, Excel, etc.)
Excellent organizational and communication skills
Ability to work independently and as part of a team
Demonstrate a professional and courteous manner when interacting with physicians/providers, clinical department staff and co-workers
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing
Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing
Contact providers or their representatives regarding inappropriate, incomplete or unclear coding
Searches for information in cases where the coding is complex or unusual. Forwards unresolved coding questions to manager for review and comment
Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
Notifies manager of any coding denial trends
Responds to coding related inquiries from providers and support staff and others as requested
Must keep current of governmental and other payor coding and reimbursement rules and requirements
Reports accurate productivity and other data as requested
Maintains productivity, quality standards and processing timelines as established by Revenue Operations Metrics
Ensures compliance with payer filing deadlines
Cooperates fully with all governmental and third-party insurer audits
Adheres to all governmental and third-party compliance issues as directed
Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
Complies with established departmental policies, procedures, and objectives
Enhances professional growth and development through educational programs
Performs other similar and related duties as required or directed
Regular, reliable, and predicable attendance is required