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.

As a
Medical Coder,you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding.

Schedule (38.75 hours):Following training, hours will be Monday-Friday (either 4 x 9.7-hour workdays or 5 x 7.75-hour workdays) between the hours of 6am-6pm EST. Candidates residing in EST or CST preferred.

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

Primary Responsibilities:

• Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing
• Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing
• Contact providers or their representatives regarding inappropriate, incomplete or unclear coding
• Searches for information in cases where the coding is complex or unusual. Forwards unresolved coding questions to manager for review and comment
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Notifies manager of any coding denial trends
• Responds to coding related inquiries from providers and support staff and others as requested
• Must keep current of governmental and other payor coding and reimbursement rules and requirements
• Reports accurate productivity and other data as requested
• Maintains productivity, quality standards and processing timelines as established by Revenue Operations Metrics
• Ensures compliance with payer filing deadlines
• Cooperates fully with all governmental and third-party insurer audits
• Adheres to all governmental and third-party compliance issues as directed
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives
• Enhance professional growth and development through educational programs, seminars, etc.
• Attends a variety of meetings, conferences, and seminars as required or directed
• Performs other similar and related duties as required or directed
• Regular, reliable, and predicable attendance is required

What are the reasons to consider working for United Health Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.

Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at:(Use the "Apply for this Job" box below)./uhgbenefits

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 School Diploma/GED (or higher)
• Certified in CPC, CCS-P, CPC-A
• 2+ years of physician-based coding…