Sustainable World, Inc.

Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Associate degree. In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. Would consider a new AHIMA credential eligible graduate. Microsoft Office experience, EHR and Encoder experience preferred. RHIA, RHIT or CCS certification required. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely, handling CCI, MUE and Medical Necessity Edits, with focus on inpatient acute hospital coding accuracy based on documentation. You will query physicians under supervision and ensure compliant code assignments. Required are AHIMA/AAPC credentials or equivalent and 2+ years of inpatient coding experience. #J-18808-Ljbffr

UnitedHealth Group is seeking an experienced Outpatient Medical Coder Edits to remotely assign CPT and ICD-10 codes for a range of same-day surgeries and complex cases. The role requires adherence to coding policies, documentation review, and feedback to physicians under supervision of the Coding Operations Manager or QM staff. This full-time telecommute position offers flexible 8-hour shifts across the U.S., with opportunities to stay current on coding policy and participate in department #J-18808-Ljbffr

UnitedHealth Group is hiring a professional medical coder to identify CPT/ICD-10 codes and modifiers for various E/M services across multiple facilities. The role requires certified coders with AHIMA/AAPC credentials and 3+ years of ICD-10, CPT, and HCPCS experience. The position supports telecommuting from anywhere in the U.S. and demands accuracy, compliance, and collaboration with providers. Eligible candidates will work full-time (40 hours/week) with standard business hours, and occasional #J-18808-Ljbffr

Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Associate degree. In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. Would consider a new AHIMA credential eligible graduate. Microsoft Office experience, EHR and Encoder experience preferred. RHIA, RHIT or CCS certification required. #J-18808-Ljbffr

Job Summary The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and quality audits on inpatient charts. The DRG - A will perform chart reviews and will ensure that all reviewed charts capture the patient’s true clinical picture from the codes assigned by the facility’s coders in compliance with federal laws. The DRG - A will utilize International Classification of Diseases - Clinical Modification (ICD-10-CM) and Procedure Coding System (PCS) Terminology to ensure accurate coding. Responsibilities include validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments, severity of illness (SOI), risk of mortality (ROM), Hierarchical Condition Category (HCC) capture CMI and other coding factors. Usage of most current Clinical Criteria, MCG, InterQual, payers’ Clinical Policy Bulletins, CMS Guidelines, NCDs and/or LCDs. Adherence to all coding guidelines and CDI best practices, as endorsed by ACDIS and AHIMA, to determine...

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact. 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an...

Seeking Inpatient Facility Coders SUMMARY: Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS: Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent...

We are currently seeking an Inpatient Coding Specialist to join our team. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you’re ready to take your career to the next level with a reputable, award‑winning company, apply today! Qualifications AHIMA or AAPC (CPC, CIC, COC) certification. A minimum of two years’ recent inpatient coding experience in an acute care setting. Experience in coding ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Knowledge of MS DRG Coding Classification Systems. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms. Proficiency with office software including Outlook email for communication, calendar for meeting attendance, and Excel spreadsheets for data management. A committed regular schedule is required with expectations for...

Seeking Inpatient Facility Coders SUMMARY: Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS: Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure...

UnitedHealth Group is seeking a healthcare coder skilled in facility outpatient coding, including Observation, to ensure accurate ICD-10 and CPT coding per client and official guidelines. The role emphasizes adherence to AHIMA/AAPC ethical standards, ongoing education, and maintaining high quality and productivity within the coding team. Remote telecommuting within the U.S. is supported as part of a flexible work arrangement. #J-18808-Ljbffr

We are currently seeking an Inpatient Coding Specialist to join our team. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you’re ready to take your career to the next level with a reputable, award‑winning company, apply today! Qualifications AHIMA or AAPC (CPC, CIC, COC) certification. A minimum of two years’ recent inpatient coding experience in an acute care setting. Experience in coding ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Knowledge of MS DRG Coding Classification Systems. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms. Proficiency with office software including Outlook email for communication, calendar for meeting attendance, and Excel spreadsheets for data management. A committed regular schedule is required with...

Senior Medical Director/Clinical Educator Remote 10-15 hrs/week 1099 Flexible Hours PayerWatch and the Association for Healthcare Denial & Appeal Management (AHDAM) are seeking a part-time physician leader focused on provider and patient advocacy, training and education. It's partly a public-facing role: developing and presenting denial and appeal webinars and content for other healthcare advocates. This physician reports directly to the Chief Medical Officer/Chief AI Officer and the Chief Executive Officer, continuing the delivery of advocacy, training, appeal certification and appeal expertise to the AHDAM community of 1,800+ hospital and health system professionals. In practice that means shaping the webinar calendar, presenting, and maintaining the AHDAM certification material. Who fits: MD or DO heavily involved in denial and appeal management on the provider side: physician advisor, utilization review, care management. You know what a clean med nec argument looks...

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. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Expert knowledge in all facility outpatient coding types: Emergency Identify appropriate assignment of...

UnitedHealth Group in Eden Prairie, MN seeks a skilled healthcare coder to join our remote team. You will assign ICD-10, CPT and modifiers for facility services, adhere to AHIMA/AAPC guidelines, and maintain coding quality and productivity in a fast-paced setting. Requirements include AHIMA/AAPC certification, 2+ years in ICD-10/CPT and ER coding, strong Excel and EMR experience. Telecommuting is permitted nationwide; competitive benefits and ongoing education opportunities are included. #J-18808-Ljbffr

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. As a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst, you will work remotely to correct, CCI, Medically Unlikely (MUE) Edits, and Medical Necessity Edits in addition to periodic coding. You will also work combine 3 day payment window, denial claim edit, dental and various other WQ accounts. You will ensure that all Inpatient acute hospital coding assignments are accurate...

Senior Medical Director/Clinical Educator Remote 10-15 hrs/week 1099 Flexible Hours PayerWatch and the Association for Healthcare Denial & Appeal Management (AHDAM) are seeking a part-time physician leader focused on provider and patient advocacy, training and education. It's partly a public-facing role: developing and presenting denial and appeal webinars and content for other healthcare advocates. This physician reports directly to the Chief Medical Officer/Chief AI Officer and the Chief Executive Officer, continuing the delivery of advocacy, training, appeal certification and appeal expertise to the AHDAM community of 1,800+ hospital and health system professionals. In practice that means shaping the webinar calendar, presenting, and maintaining the AHDAM certification material. Who fits: MD or DO heavily involved in denial and appeal management on the provider side: physician advisor, utilization review, care management. You know what a clean med nec argument looks...

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely, handling CCI, MUE and Medical Necessity Edits, with focus on inpatient acute hospital coding accuracy based on documentation. You will query physicians under supervision and ensure compliant code assignments. Required are AHIMA/AAPC credentials or equivalent and 2+ years of inpatient coding experience. #J-18808-Ljbffr

Seeking Inpatient Facility Coders SUMMARY: Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS: Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure...

We are currently seeking an Inpatient Coding Specialist to join our team. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you’re ready to take your career to the next level with a reputable, award‑winning company, apply today! Qualifications AHIMA or AAPC (CPC, CIC, COC) certification. A minimum of two years’ recent inpatient coding experience in an acute care setting. Experience in coding ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Knowledge of MS DRG Coding Classification Systems. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms. Proficiency with office software including Outlook email for communication, calendar for meeting attendance, and Excel spreadsheets for data management. A committed regular schedule is required with...

UnitedHealth Group is seeking a healthcare coder skilled in facility outpatient coding, including Observation, to ensure accurate ICD-10 and CPT coding per client and official guidelines. The role emphasizes adherence to AHIMA/AAPC ethical standards, ongoing education, and maintaining high quality and productivity within the coding team. Remote telecommuting within the U.S. is supported as part of a flexible work arrangement. #J-18808-Ljbffr

UnitedHealth Group's Optum is seeking a professional coder for inpatient DRG coding in a full-time role. You will assign ICD-10-CM/PCS and DRG codes for facility services, maintaining coding guidelines and QA standards. Telecommuting from anywhere in the U.S. is allowed with a dedicated workspace and secure data practices. Responsibilities include data abstraction, physician queries, staying current with coding updates, and collaboration with QM managers to ensure accuracy and productivity. #J-18808-Ljbffr

UnitedHealth Group, through Optum, is seeking a skilled Inpatient Coder to assign ICD-10 CM/PCS and DRGs for facility services. You will query physicians, maintain coding accuracy, and support coding quality initiatives across the team. Requires AHIMA/AAPC credentials, 3+ years inpatient DRG coding, and strong Excel/EMR skills. Telecommuting from anywhere in the U.S. is available, with occasional overtime as needed. #J-18808-Ljbffr

UnitedHealth Group is seeking a professional medical coder for a full-time remote position based in the United States. The role focuses on facility outpatient coding, including Same Day Surgery, ICD-10, CPT, and modifiers, following official guidelines and client-specific rules. Qualified candidates hold AHIMA/AAPC credentials, have 2+ years of ICD-10/CPT experience in acute surgery, and are adept with Windows, Excel, and EMR systems. Telecommuting is permitted nationwide under policy guidelines. #J-18808-Ljbffr