Senior Medical Coder – Remote (No Degree Required)

Job Responsibilities : Senior Medical Coder – Remote (No Degree Required)

Salary : 23.94 to $42.40 hourly

Company : UnitedHealthcare Group

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It’s an opportunity to do your life’s best work.(sm)

The Sr. Risk Adjustment Coder will provide Hierarchical Condition Category (HCC) coding services for outpatient and inpatient charts. This includes the analysis and translation of medical diagnoses with the ultimate goal of improvement in coding accuracy across the network. This position will evaluate clinical coding from medical records to ensure accurate coding of encounter data and recommends processes to ensure accurate and efficient coding practices.

They will also assist in providing feedback regarding coding and reimbursement, participate in operational activities and work with network managers, medical director, market leader, stakeholders and other employees to ensure improvement in coding accuracy. The Sr. Risk Adjustment Coder will maintain high level (96%) coding accuracy and complete work within assigned queue in established timeframe. This position will also build records/attestations and datamine recorda and files.

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

Primary Responsibilities:

Support the OptumCare Utah Care Delivery Organization (CDO) and Mountain West Region (MWR) Coding Team
Process physician attestation forms and PCP visits at a minimum of 6 charts per hour
Perform inpatient chart reviews for Medical Management (MM)
Building records, data mining

Build and sustain effective relationships while working closely with manager, coding supervisor, coding team, Mountain West Region, Enterprise Clinical Performance, coding educators and network managers
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
Identify suspect / unreported HCC codes in the notes / records to reflect the severity of the patient’s condition

Perform 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
Perform the minimum number of coding quality reviews consistent with established departmental goals
Maintain a 96% quality audit accuracy rate

Attend internal meetings via WebEx as requested
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 Diploma/GED or higher education
Current Coding Certification with AAPC or AHIMA (CPC, RHIT, CRC, RHIA, CCS)
3+ years of ICD-10 coding
2+ years of experience in Risk Adjustment Coding
Datamining experience
Proficiency Microsoft Office products: Outlook, Excel, Word

Preferred Qualifcations:

Certified Risk Adjustment Coder (CRC) credentials
Experience working remotely with proven ability to prioritize tasks, meet goals and deadlines
Various Electronic Medical Record (EMR) experience
Experience with Attestations and physician queries
Familiar with AHA Coding Clinic
Familiar with systems: DataRAP, Alliance, Touch Works

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, 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)

Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $21.68 to $38.56. The hourly range for Connecticut / Nevada residents is $23.94 to $42.40. 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.

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

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.

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