Medical Coder

UnitedHealth Group • Everett, WA

9h • $20 - $36 • Remote

About The Position

The Medical Coder performs concurrent review of fee-for-service coding rules within Epic, ensuring CPT and E/M codes are accurately coded and billed to support maximum reimbursement and minimize denials. The role applies medical coding knowledge and relevant guidelines to clinical documentation, assigns and records independent code determinations, and resolves coding edits or denials. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. The position is remote from anywhere within the United States.

Requirements

• High school diploma or GED.
• Coding certification from AAPC or AHIMA, such as CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, or CCS-P.
• At least 1 year of coding experience.
• Advanced knowledge of ICD-10-CM, CPT, modifiers, and HCPCS coding classifications and guidelines.
• Advanced knowledge of medical terminology, disease processes, anatomy, and physiology.
• Task-oriented and able to meet designated deadlines and productivity standards.
• Adhere to UnitedHealth Group’s Telecommuter Policy.
• Pass a drug test before beginning employment.

Nice To Haves

• Epic experience.

Responsibilities

• Apply knowledge of diagnosis, procedural, evaluation and management, and ancillary-services coding to assign appropriate medical codes.
• Use knowledge of anatomy and physiology to interpret clinical documentation and identify applicable codes.
• Identify unclear or incomplete clinical documentation and generate queries to obtain additional information.
• Follow up with providers when query responses are not received in a timely manner.
• Use medical coding software or reference materials to identify appropriate codes.
• Apply responses to queries when making final coding determinations.
• Apply Medical Coding Reference, federal, state, and professional guidelines to assign and record independent medical code determinations.
• Manage multiple work demands while meeting productivity and turnaround-time standards for completing medical records, including charts, assessments, visits, and encounters.
• Resolve medical coding edits or denials related 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 how coding decisions affect the revenue cycle.
• Perform other duties as assigned.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs, subject to eligibility requirements.
• Equity stock purchase, subject to eligibility requirements.
• 401(k) contribution, subject to eligibility requirements.
• Career development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED