Senior Inpatient Facility Medical Coder (Edits) - Remote
Company: UnitedHealth Group
Location: East Hartford
Posted on: June 16, 2022
Job Description:
You'll enjoy the flexibility to telecommute* from anywhere
within the U.S. as you take on some tough challenges. 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? Optum360. We're a dynamic new partnership
formed by Dignity Health and Optum to combine our unique expertise.
As part of the growing family of UnitedHealth 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.SMDelivering quality care starts with ensuring our
processes and documentation standards are being met and kept at the
highest level possible. This means working behind the scenes
ensuring a member-centric approach to care. As an Inpatient Medical
Coder you will determine and record the correct medical codes for
all treatments and health services. Ensuring proper records is just
one way your work will impact the health and wellness of our
members on a huge scale. -Who are we? We're Optum360. We're a
dynamic new partnership formed by Dignity Health and Optum to
combine our unique expertise. As part of the growing family of
UnitedHealth 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 health care providers
nationwide.As a Senior Medical Coder/Claims Analyst you will work
remotely to correct CCI, MUE, and Medical Necessity Edits on
accounts of all patient types in addition to periodic coding. You
will ensure that all coding assignments are accurate according to
coding policies and based on the documentation provided in the
medical record. Using a thorough knowledge of coding policies and
procedures as well as medical terminology and technology, you will
be responsible for providing documentation feedback to physicians
under the direction of the Coding Operations Manager or Quality
Management personnel. *All Telecommuters will be required to adhere
to UnitedHealth Group's Telecommuter Policy.Primary
Responsibilities:
- Identify appropriate assignment of CPT and ICD-10 Codes for
outpatient surgery, observation, CVIR, emergency, and ancillary
services while adhering to the official coding guidelines and
established client coding guidelines of the assigned facility
- Apply coding knowledge to analyze/correct CCI Edits and Medical
Necessity accounts
- Understand the Medicare Ambulatory Payment Classification (APC)
codes
- 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 Optum360
- 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
- Review and maintain a record of charts coded, held, and / or
missing
- Additional responsibilities as identified by managerYou'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 (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be
maintained annually
- 3+ years of Inpatient medical coding experience (hospital,
facility, etc.)
- Intermediate knowledge of OCE, MUE and NCCI classification and
reimbursement structures.
- Experience working in a level I trauma center and/or teaching
hospital with a mastery of complex procedures, major trauma ER
encounters, cardiac catheterization, interventional radiology,
orthopedic and neurology cases, and observation coding.
- Must have ICD-10 and DRG coding experience
- EMR systemsPreferred Qualifications:
- Experience with OSHPD reporting
- Experience with various encoder systems (eCAC,3M, EPIC)
- Intermediate level of experience with Microsoft Excel (ability
to create, edit, save, and send spreadsheets)Telecommuting
Requirements:
- 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 that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing
high-speed internet serviceUnitedHealth Group requires all new
hires and employees to report their COVID-19 vaccination
status.Military & Veterans find your next mission: We know your
background and experience is different and we like that.
UnitedHealth Group values the skills, experience and dedication
that serving in the military demands. In fact, many of the values
defined in the service mirror what the UnitedHealth Group culture
holds true: Integrity, Compassion, Relationships, Innovation and
Performance. Whether you are looking to transition from active duty
to a civilian career, or are an experienced veteran or spouse, we
want to help guide your career journey. Learn more at Learn how
Teresa, a Senior Quality Analyst, -works with -military veterans
and ensures they receive the best benefits and experience possible.
-Careers with Optum360. At Optum360, we're on the forefront of
health care innovation. With health care costs and compliance
pressures increasing every day, our employees are committed to
making the financial side more efficient, transferable and
sustainable for everyone. We're part of the Optum and UnitedHealth
Group family of companies, making us part of a global effort to
improve lives through better health care. In other words, it's a
great time to be part of the Optum360 team. Take a closer look now
and discover why a career here could be the start to doing your
life's best work.SMColorado, Connecticut or Nevada Residents
Only:The salary range for Colorado residents is $20.77 - $36.88.
The salary range for Connecticut / Nevada residents is $22.93 -
$40.58. 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 incentivesDiversity 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.Keywords: #RPO, #YELLOW
Keywords: UnitedHealth Group, East Hartford , Senior Inpatient Facility Medical Coder (Edits) - Remote, Healthcare , East Hartford, Connecticut
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