Profee E​/M Medical Coder

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 impact on the communities we serve as you help us advance health optimization on a global scale.

Join us to start Caring. Connecting. Growing together.

Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities.

If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work
.

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 work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• 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 Pro Fee 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.

• High School Diploma/GED (or higher)
• 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 Outpatient Professional (Pro Fee) E/M coding experience
• 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 facilities as directed

• Ability to work at least one weekend, day, holidays, and overtime when there is a business need

• 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 United Health Group approved high-speed internet connection or leverage an existing high-speed internet service

* All Telecommuters will be required to adhere to United Health 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…