Profee Surgical 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.

Who are we?
Optum
360
. We're a dynamic new partnership formed by Dignity Health and
Optum
to combine our unique expertise. As part of the growing family of
United Health
Group
, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

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
.
SM

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 assignments of CPT, ICD-10 Codes and modifiers for professional services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Expert knowledge in all Pro Fee coding specialties:
  General Surgery, Ortho, OB/GYN, Cardiovascular, neurosurgery including but not limited to, Evaluation & Management, major and minor procedures 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
• 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
• 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 (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually
• 3+ years of experience with Outpatient surgery coding in a professional/physician PROFE#) setting
• 3+ years of experience with ICD-10, CPT, and HCPCS
• Intermediate level of proficiency with PC in a Windows environment, including
  
  Microsoft Excel (create and edit spreadsheets) and 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…