Senior Hospital Medical Coder (REMOTE)

Medical & Clinical Operations

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. Location: Remote - Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.Oversees surgical coding team of 8 coders. Facilities and monitors workflows. Assigns work daily and projects as needed

Responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding and appeals of payer rejections relating to coding

Proves complex coding expertise in all functions of day to day processes, including Epic proficiency, exceptional communication both verbal and written and outstanding quality of work

Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing

Contacts providers or their representatives regarding inappropriate, incomplete or unclear coding

Search for information in cases where the coding is complex or unusual. Forward unresolved coding questions to manager for review and comment

Works directly with the auditors on coding documentation errors and payor updates. Follows up on outstanding coding related receivables following standard Revenue Operations policy/procedure/process and based upon payer filing deadlines

Updates team on change to policies and coding changes

Reviews coding denial reports with management

Responds to coding related inquiries from providers and support staff and others as requested

Must keep current of governmental and other payor coding and reimbursement rules and requirements

Reports accurate productivity and other data as requested

Maintains productivity, quality standards and processing timelines as established by Revenue Operations Metrics

Complies with established departmental policies, procedures, and objectives

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

High School Diploma/GED

• Certified Coder - Billing and Coding preferred, Certified or Eligible for certification: 3+ years of medical coding experience
• Medical terminology certificate or demonstrated knowledge
• Demonstrated knowledge and experience in ICD10, CPT and HCPCS coding or successful completion of related college course

Demonstrated knowledge of third- party billing

3-5 years of work experience Ability to work independently and as part of a team

Must demonstrate a professional and courteous manner when interacting with physicians/providers, clinical department staff and co-workers

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

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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.

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.