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Senior DRG Medical Coder - National Remote

Remote / Online - Candidates ideally in
Concord, Contra Costa County, California, 94527, USA
Listing for: UnitedHealth Group
Full Time, Part Time, Per diem, Remote/Work from Home position
Listed on 2025-12-02
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Medical Records
Job Description & How to Apply Below

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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.

We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. AsSenior Inpatient Facility Medical Coderyou will provide codingservices directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met.

This is a virtual, remote, position that requires candidates to be highly organized, self - starters, well - versed in technical applications. Previous success in a remote environment is preferred.

We offer 4 weeks of training. The hours during training will be 8:00 AM - 5:00 PM Monday-Friday.

Training will be conducted virtually from your home.

You’ll enjoy the flexibility to telecommute
* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Identify appropriate assignment of ICD - 10 - CM and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
  • 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
    360
  • Provide documentation feedback to providers 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, etc.
  • Participate in coding department meetings and educational events
  • Review and maintain a record of charts coded, held, and / or missing

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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 School Diploma/GED (or higher)
  • Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
  • 3+ years of experience with Acute Care Inpatient medical coding (hospital, facility, etc.)
  • 3+ years of experience working in a Level II trauma center and/orteaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
  • 3+ years of experience with ICD - 10 (CM & PCS) and DRG coding
  • Ability to pass all pre-employment requirements including, but not limited to, drug screening, background check, and coding

Preferred Qualifications:

  • 2+ years of outpatient facility coding experience
  • Experience with OSHPD reporting
  • Experience with various encoder systems (eCAC, 3M, EPIC)
  • Ability to use a personal computer in a Windows environment, including Microsoft Excel (create, edit, save, and send spreadsheets) and EMR systems

* All Telecommuters will be required to adhere to United Health Group’s Telecommuter Policy.


** PLEASE NOTE
** The sign-on bonus is only available to external candidates. Candidates who are currently working for United Health Group, United Healthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

The salary…

Position Requirements
10+ Years work experience
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