Medical Records Coder-Senior

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. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity.

Schedule: Monday to Friday, 8am - 5pm

Location: Remote Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.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., Resolve medical coding edits or denials in relation 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 the impact of coding decisions on revenue cycle

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

• Coding certification from AAPC or AHIMA Professional Coding Association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.)
• 3+ years of Pro-Fee (fee for service) coding experience including with multiple specialties
• Advanced level of proficiency/knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
• Advanced level of proficiency/knowledge of medical terminology, disease process and anatomy and physiology

Epic experience

~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.