Medical Coder

UnitedHealth Group • Worcester, MA

12h • 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. Schedule (38.75 hours): Following training, hours will be Monday-Friday (either 4 x 9.7-hour workdays or 5 x 7.75-hour workdays) between the hours of 6am-6pm EST. Candidates residing in EST or CST preferred. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

• High School Diploma/GED
• Certified in CPC, CCS-P, CPC-A
• 2+ years of physician-based coding experience
• Willing and able to learn the current billing software within 6 months of hire

Nice To Haves

• 2+ years of experience in ICD-10, CPT and HCPCS coding or successful completion of related college courses
• 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

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, seminars, etc
• Attends a variety of meetings, conferences, and seminars as required or directed
• Performs other similar and related duties as required or directed
• Regular, reliable, and predicable attendance is required

Benefits

• 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.)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees