Senior Medical Coder

UnitedHealth Group • Eden Prairie, MN

120d • $23 - $41 • Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Evaluates clinical coding from medical records to ensure accurate coding of encounter data and recommends processes to ensure accurate and efficient coding practices. Assists in providing feedback regarding coding and reimbursement. Participate in operational activities. Work with network managers, medical director, market leader, stakeholders and other employees to ensure improvement in coding accuracy. Position maintains high level (96%) coding accuracy and completes work within assigned queue in established timeframe. Performs coding querying, adds missed codes. Identifies deletes, code validation, identifies suspects. Train Coders, educate providers, perform audits.

Requirements

• High School Diploma/GED (or higher).
• Coding certification from AAPC or AHIMA professional coding association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.).
• 2+ years of HCC coding experience.
• 2+ years of experience working with ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines.
• 1+ years of experience in working medical terminology, disease process and anatomy and physiology.

Responsibilities

• Understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes.
• Understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes.
• Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information.
• Follow up with providers as necessary when responses to queries are not provided in a timely basis.
• Utilize medical coding software programs or reference materials to identify appropriate codes.
• Post-query response to make final determinations.
• Relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters).

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
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED