Senior Medical Coder

UnitedHealth Group•Middletown, NY

1d•$24 - $43•Remote

About The Position

The Senior Medical Coder is responsible for the accurate assignment of ICD-10-CM, CPT, and HCPCS codes based on provider documentation, in accordance with official coding guidelines, regulatory requirements, and organizational policies. This role supports compliance, data integrity, and optimal reimbursement while serving as a subject matter expert for coding practices. Schedule: Monday to Friday, 8:00 am to 5:00 pm EST Location: Remote Nationwide You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

High School Diploma/GED
Certified medical coder through AHIMA or AAPC
5+ years of professional medical coding experience; multi-specialty professional practice experience preferred
1+ years of experience in ICD 10 coding / HCC
1+ years of knowledge of medical terminology, disease process and anatomy and physiology
Ability to work between the hours of 8:00 am to 5:00pm EST
Access to a designated quiet workspace in your home (separated from non-workspace areas) and the ability to secure Protected Health Information (PHI)
Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Nice To Haves

Coding CPT and CPT II codes
EPIC experience
Working knowledge of reimbursement methodologies, including fee-for-service, Medicare, and commercial payer structures
Demonstrated understanding of compliance standards, including CMS guidelines and OIG expectations
Proficiency in Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint
Ability to work independently and maintain good judgment and accountability
Demonstrated ability to work well with health care providers
Strong organizational and time management skills
Ability to multi-task and prioritize tasks to meet all deadlines
Ability to work well under pressure in a fast-paced environment
Ability to collaborate with your work team
Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Responsibilities

Review and interpret patient medical records, including provider documentation, diagnostic results, and operative reports, to assign accurate and compliant diagnosis and procedure codes
Apply ICD-10-CM, CPT, and HCPCS coding conventions and official guidelines (AAPC, AHIMA, CMS, and payer-specific policies)
Ensure coding accuracy, completeness, and compliance with federal, state, and payer regulations, including Medicare and commercial payer requirements
Validate that documentation supports code selection and identify inconsistencies, errors, or missing elements requiring clarification
Initiate and track provider queries in accordance with compliant query practices to resolve documentation deficiencies
Support revenue cycle operations by ensuring appropriate code assignments to facilitate accurate billing and reimbursement
Perform retrospective and prospective coding audits and participate in quality assurance and performance improvement initiatives
Analyze coding trends, denial patterns, and audit findings to identify opportunities for education and process improvement
Maintain current knowledge of coding updates, regulatory changes, payer policies, and industry standards
Maintain strict adherence to HIPAA and organizational policies for patient confidentiality and data security
Performs other duties as assigned

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.)
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution