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. Join us to advance health optimization on a global scale.
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 will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities: Identify appropriate assignment of CPT, ICD-10 Codes and Modifiers for various E/M services across multiple services including but not limited to: Emergency Department, Hospitalists, Primary Care, etc
Expert knowledge in all ProFee coding specialties; including but not limited to, Evaluation & Management, Critical Care, Trauma 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
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 Optum
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
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.
Required Qualifications: High SchoolDiploma/GED
Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually
3+ years of experience with ICD-10, CPT and HCPCS
Ability to use a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and utilize various EMR systems with ease
Ability to flex and float to multiple clients as directed
Preferred Qualifications: 3+ years of Outpatient Professional (ProFee) E/M coding experience
Ability to work at least one weekend, day, holidays, and overtime when there is a business need
Telecommuting Requirements: Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
We consider for employment qualified applicants with arrest and conviction records under the San Francisco Fair Chance Ordinance.
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