Senior Medical Coder

UnitedHealth Group•Eden Prairie, MN

10d•$24 - $43•Remote

About The Position

The Senior 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 involves applying medical coding guidelines to clinical documentation, resolving coding edits or denials, and helping maintain productivity and turnaround-time standards. The position is remote nationwide, with a Monday-to-Friday schedule from 8 AM to 5 PM.

Requirements

High school diploma or GED.
Coding certification from an AAPC or AHIMA professional coding association, such as CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, or CCS-P.
At least 3 years of coding experience, including experience with multiple specialties.
Advanced knowledge of ICD-10-CM, CPT, modifiers, and HCPCS coding classifications and guidelines.
Advanced knowledge of medical terminology, disease processes, and anatomy and physiology.
Task-oriented and able to meet designated deadlines and productivity standards.
Telecommuters must adhere to UnitedHealth Group’s Telecommuter Policy.
Must pass a drug test before beginning employment.

Responsibilities

Use online sources, manuals, and other reference materials to identify appropriate medical codes and determine code applicability, rules, and guidelines.
Apply knowledge of diagnosis, procedural, evaluation and management, and ancillary-services coding to assign appropriate medical codes.
Use basic anatomy and physiology knowledge to interpret clinical documentation and identify applicable medical codes.
Identify unclear or incomplete clinical documentation and generate queries to obtain additional information.
Follow up with providers when query responses are not provided in a timely manner.
Use medical coding software or reference materials to identify appropriate codes.
Apply post-query responses to make 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.
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.
Attain or maintain relevant professional certifications and complete continuing education seminars as required.
Navigate clinical software applications to assign medical codes or complete reviews.
Perform other duties as assigned.