Senior Medical Coder – Remote Nationwide

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. 

 

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Process physician attestation forms and PCP visits at a minimum of 6 charts per hour
• Perform inpatient chart reviews for Medical Management (MM)
• Building records, data mining
• Build and sustain effective relationships while working closely with manager, coding supervisor, coding team, Mountain West Region, Enterprise Clinical Performance, coding educators and network managers
• Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determination or identify appropriate ICD-10 &/or CPT codes following CMS guidelines 
• Identify suspect / unreported HCC codes in the notes / records to reflect the severity of the patient’s condition
• Perform level one concurrent or retrospective coding quality reviews
• Queries providers regarding missing, unclear, or conflicting health record documentation through the use of approved templates consistent with Optum Coding Guidelines
• Resolve medical coding edits or billing item rejects in relation to code assignment
• Work with assigned providers, network managers, medical director, market leader, stakeholders and/or other employees to ensure improvement in provider coding accuracy, as necessary
• Perform the minimum number of coding quality reviews consistent with established departmental goals
• Maintain a 96% quality audit accuracy rate
• Attend internal meetings via WebEx as requested

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)
• Current Coding Certification with AAPC or AHIMA (CPC, RHIT, CRC, RHIA, CCS)
• 1+ years of ICD-10 coding experience
• 1+ years of experience with Microsoft Office products including Outlook, Excel, Word

Preferred Qualifications:

• 3+ years CMS HCC Risk Adjustment experience
• Certified Risk Adjustment Coder (CRC) credentials
• Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines
• Various Electronic Medical Record (EMR) experience
• Experience with Attestations and physician queries
• Familiar with AHA Coding Clinic
• Familiar with systems: DataRAP, Alliance, Touch Works 

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. residents is $23.22 to $45.43 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

 

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.

 

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

 

 

#RPO #GREEN