Job Details2024-05-20T13:50:10+00:00

Senior Medical Coder – National Remote

Requisition Number: 2289538
Job Category: Medical & Clinical Operations
Primary Location: New York, NY
(Remote considered)

Doctor consulting nurse at nurse station.

Careers at UnitedHealth Group

We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM

Clinical

Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life’s best work.SM

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.   

Schedule: Monday to Friday, 8:00 am to 5:00 pm EST

Location: Remote Nationwide

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

Primary Responsibilities: 

  • Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines
  • Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
  • Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
  •  Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
  • Follow up with providers as necessary when responses to queries are not provided on a timely basis
  • Utilize medical coding software programs or reference materials to identify appropriate codes
  • Apply post-query response to make final determinations
  •  Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
  • Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
  • Resolve medical coding edits or denials in relation to code assignment
  • Provide information or respond to questions from medical coding quality audits
  • Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
  • Attain and/or maintain relevant professional certifications and continuing education seminars as required
  • Utilize and navigate across clinical software applications to assign medical codes or complete reviews
  • Will be monitored and mentored to achieve removal of apprentice classification when appropriate
  • Performs other duties as assigned

What are the reasons to consider working for UnitedHealth 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: http://uhg.hr/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 medical coder through AHIMA or AAPC
  • 1+ years of experience in ICD 10 coding / HCC
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) and can secure Protected Health Information (PHI)  
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  • Ability to work between the hours of 8:00 am to 5:00pm EST

Preferred Qualifications: 

  • 1+ years of experience sending queries to the providers for contradiction in documentation
  • Coding CPT and CPT II codes
  • EPIC experience
  • Knowledge of medical terminology, disease process and anatomy and physiology 

Soft Skills: 

  • Ability to work independently and maintain good judgment and accountability 
  • Demonstrated ability to work well with health care providers 
  • Strong organizational and time management skills 
  • Ability to multi-task and prioritize tasks to meet all deadlines 
  • Ability to work well under pressure in a fast-paced environment 
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others 
  • Ability to collaborate with your work team

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

 

The salary range for this role is $23.70 to $46.35 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 

 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to the volume of applicants. 

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

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.

 

 

#RPO #GREEN

Additional Job Detail Information

Requisition Number 2289538

Business Segment Optum Health Services

Employee Status Regular

Job Level Individual Contributor

Travel No

Country: US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position Yes

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