Prepay Coding Consultant

Primary Responsibilities Utilize resources and reference materials (e.g., online sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes Utilize medical coding software programs or reference materials to identify appropriate codes Apply 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) Provide information or respond to questions from medical coding quality audits Educate and mentor others to improve medical coding quality Demonstrate basic knowledge of the impact of coding decisions on revenue cycle Attain and/or maintain relevant professional certifications and continuing education seminars as required All other duties as assigned Required Qualifications High School Diploma/GED Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA 3+ years of CPT & ICD coding experience (surgical, hospital, clinic settings) Intermediate level of proficiency with PC based software Ability to work our normal business hours of 8:00am - 5:00pm, Monday - Friday. It may be necessary, given the business need, to work occasionally overtime or weekends Must be 18 years of age or older Preferred Qualifications AHFI or CFE certification Licensed Registered Nurse (RN) Licensed Practical Nurse (LPN) Experience in a production environment Experience with one or more of the following: Claim processing, Provider demographic information, Insurance billing practices Soft Skills Ability to prioritize and manage multiple tasks Proven ability to work in a team setting Excellent oral and written communication skills and presentation skills Critical thinking, problem solving and analytical skills Telecommuter Policy: All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The hourly pay for this role will range from $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase option, and 401(k) contribution (all benefits are subject to eligibility requirements). We comply with the San Francisco Fair Chance Ordinance and consider qualified applicants with arrest and conviction records. 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. #J-18808-Ljbffr University of Minnesota School of Nursing