Overview
Optum is a global organization delivering care through technology to improve health outcomes. This is a full‑time (40 hrs/week) SDS/Observations Medical Coder position with the option to telecommute from any U.S. location.
Primary Responsibilities
Identify appropriate assignment of CPT and ICD‑10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits.
Understand the Medicare Ambulatory Payment Classification (APC) codes.
Abstract additional data elements during the chart review process when coding, as needed.
Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360.
Provide documentation feedback to providers, as needed, and query physicians when appropriate.
Maintain up‑to‑date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among others.
Participate in coding department meetings and educational events.
Review and maintain a record of charts coded, held and/or missing.
Additional responsibilities as identified by manager.
Required Qualifications
High School Diploma/GED (or higher).
Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS‑P, CPC or CPC‑H).
2+ years of outpatient facility coding experience.
2+ years of experience working with Same Day Surgery Coding.
2+ years of ICD‑10 experience.
Intermediate level of proficiency with Windows environment including MS Excel and EMR systems.
Telecommuting Requirements
Access to a dedicated work area separated from other living areas that provides information privacy.
Ability to keep all company‑sensitive documents secure (if applicable).
Residence in a location able to receive a UnitedHealth Group‑approved high‑speed Internet connection or leverage an existing high‑speed Internet service.
Sign‑on Bonus
$3,000 sign‑on bonus available to external candidates only. Internal candidates are not eligible for the bonus.
Benefits and Compensation
The hourly pay for this role ranges from $20.00 to $35.72 based on full‑time employment. The company offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution where eligible.
EEO Statement
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law. Qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider qualified applicants with arrest and conviction records.
Candidates are required to pass a drug test before beginning employment.
#J-18808-Ljbffr