Senior Medical Coder - Telecommute

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

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Evaluates Risk Adjustment coding from medical records to ensure accurate coding of encounter data and recommends processes to ensure accurate and efficient coding practices. Assists in providing feedback regarding coding and reimbursement. Participate in operational activities. Work with network managers, medical director, market leader, stakeholders, and other employees to ensure improvement in coding accuracy. Position maintains high level (96%) coding accuracy and completes work within assigned queue in established timeframe. Performs coding querying, adds missed codes. Identifies deletes, code validation, identifies suspects.

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

Primary Responsibilities:
  • Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determination or identify appropriate ICD-10 &/or CPT codes following CMS guidelines
  • Evaluates documentation to ensure that diagnosis coding is complete, supported, and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures, as required by client
  • Identifies suspect / unreported HCC codes in the notes / records to reflect the severity of the patient's condition
  • Performs level one concurrent or retrospective coding quality reviews
  • Queries providers regarding missing, unclear, or conflicting health record documentation through the use of approved templates consistent with Optum Coding Guidelines
  • Resolve medical coding edits or billing item rejects in relation to code assignment
  • Work with assigned providers, network managers, medical director, market leader, stakeholders and/or other employees to ensure improvement in provider coding accuracy, as necessary
  • Performs the minimum number of coding quality reviews consistent with established departmental goals
  • Maintains a 96% quality audit accuracy rate


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 education or equivalent experience.
  • Possess a RHIT, CCS (AHIMA) or CPC, CRC (AAPC)
  • 2+ years of work experience in FFS and HCC multi specialty evaluation procedure coding E/M, CPT, ICD-10-CM, HCPCS coding experience
  • 2+ years coding Risk Adjustment for HCC coding experience


Assets After 90 day training is complete
  • Rating of 96% accuracy is required (after 90 days training)
  • 7 HCC charts per hr HCC is goal - (49 charts per day).


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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

Colorado Residents Only: The hourly range for Colorado residents is $20.77 to $36.88. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Senior Medical Coder, Sr Medical Coder, Medical Coding, Coder, HCC, Hierarchical Condition Category Coding, Revenue, Risk Adjustment Coding, ICD-10, Clinical Performance, Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH, Albuquerque, NM, New Mexico

Advertisement

2029926