Certified Medical Coder - CPC-A | Day 1 HMO | Hybrid Set-up

Optum, a UnitedHealth Group Company; Metro Manila; Hybrid; PHP 300,000 - 540,000; Full time

Benefits offered by this job

Predominantly Work at Home

Laptop/Computer Provided by theCompany

Pure Non-Voice Account

Market Total Rewards Package

Retirement Plan

Medical Plan (HMO) from Day 1

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Sick Leave Conversion

Tuition Fee Reimbursement

Employee Assistance Program (EAP)

Annual Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Volunteerism Opportunity

All Mandatory Statutory Benefits

Job summary

Optum, a UnitedHealth Group company, is seeking a medical coder to translate doctors’ notes and medical records into universal CPT/ICD codes for insurance billing. You will ensure accuracy, leverage EMR/paper-chart experience, and stay compliant with ICD-9/ICD-10 guidelines.

This role supports the billing process and requires on-site training with primarily remote work thereafter. You will contribute to precise coding, productive performance, and ongoing professional development under QM and

Qualifications

• Active AHIMA or AAPC medical coding certification.
• Experience coding from paper charts and EMR.
• Understanding of ICD-9/ICD-10 coding in relation to HCC/risk adjustment.
• Onsite attendance is required during training; predominantly work from home thereafter.

Responsibilities

• Translate doctors' notes and medical records into universal CPT/ICD codes.
• Ensure services are coded accurately for correct billing and provider payment.
• Apply medical terminology and guidelines to ensure precision and compliance.
• Support the billing process behind the scenes for smooth operations.
• Maintain performance in coding accuracy and productivity; abstract additional data during chart review.
• Identify CPT/ICD-9 code assignments for physician and facility services (observation and inpatient) and provide documentation feedback to providers.
• Keep up-to-date coding knowledge via QM and Coding Ops teams and director guidance.

Skills

Medical coding

EMR coding experience

ICD-9/ICD-10 knowledge

CPT coding

Education

AHIMA/AAPC Medical Coding Certification (CPC-A, CPC, CIC, CCS, COC)

Job description

ROLE AND RESPONSIBILITIES

• Translate doctor's notes and medical records into universal codes used by insurance companies and healthcare systems




• Make sure healthcare services are coded accurately so that billing is correct and providers get paid properly




• Use your knowledge of medical terms and guidelines to ensure everything is precise and compliant




• Play a crucial role behind the scenes in making the healthcare billing process work smoothly




• Adhere to and maintain required levels of performance in both Coding accuracy and productivity. Abstract additional data elements during the Chart Review process when coding




• Identify appropriate assignment of CPT and ICD-9 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting. Provide documentation feedback to Providers




• 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

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.SM

JOB QUALIFICATIONS

• With active AHIMA or AAPC Medical Coding Certification (CPC-A, CPC, CIC, CCS, COC)




• Experience in coding from paper charts as well as EMR




• Understanding of ICD-9 or ICD-10 Coding in relation to HCC/Risk Adjustment Coding




• Onsite attendance is required during training; predominantly work at home arrangement thereafter

WHAT WE OFFER

• Predominantly Work at Home (Onsite attendance is required during training)




• Laptop/Computer Provided by the Company




• Pure Non-Voice Account

• Market Total Rewards Package




• Retirement Plan




• Medical Plan (HMO) from Day 1 of employment




• Dental, Medical, and Optical Reimbursements




• Life and Disability Insurance




• Paid Time-Off Benefits




• Sick Leave Conversion




• Tuition Fee Reimbursement




• Employee Assistance Program (EAP)




• Annual Performance Based Merit Increases




• Employee Recognition




• Training and Staff Development




• Employee Referral Program




• Employee Volunteerism Opportunity




• All Mandatory Statutory Benefits

WHO WE ARE

• Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.




• UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.




• We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.




• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.

• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together