SDS Observations Medical Coder

UnitedHealth Group•Minnetonka, MN

10h•$20 - $36•Remote

About The Position

The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday. You’ll 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
Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)
2+ years of outpatient facility coding experience
2+ years of experience working with Same Day Surgery Coding
2+ years of ICD-10 experience
Intermediate level of proficiency with Windows environment including MS Excel and EMR systems
Access to a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits
Understand the Medicare Ambulatory Payment Classification (APC) codes
Abstract additional data elements during the chart review process when coding, as needed
Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
Provide documentation feedback to providers, as needed and query physicians when appropriate
Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among others
Participate in coding department meetings and educational events
Review and maintain a record of charts coded, held and/or missing
Additional responsibilities as identified by manager