Acute Facility CVIR Medical Coder

DaMar Staffing; United States; Remote; USD 41,000 - 75,000; Full time

Job summary

UnitedHealth Group is seeking a Coding Specialist to identify CPT/ICD-10 codes for outpatient Interventional Radiology services, ensuring accuracy per guidelines and client standards. You will apply coding knowledge to CCI and medical necessity edits and maintain up-to-date coding practices.

The role requires AHIMA/AAPC credentials and 2+ years in outpatient IR and ICD-10 coding, with a 40-hour workweek and remote flexibility within the U.S.

Qualifications

• Professional coder certification with AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, CPC-A) maintained annually.
• 2+ years of outpatient facility interventional radiology coding experience.
• 2+ years of ICD-10 experience.

Responsibilities

• Identify correct CPT/ICD-10 code assignment for outpatient IR services per guidelines.
• Analyze/correct CCI Edits and Medical Necessity Edits.
• Understand APC codes and Medicare rules relevant to IR.
• Abstract additional data elements during chart review when coding as needed.
• Maintain coding quality and productivity per standards.
• Provide documentation feedback and query physicians when appropriate.
• Stay updated on coding knowledge through QM Manager and Directors.
• Participate in coding department meetings and trainings.
• Review and track charts coded, held, or missing.

Skills

Outpatient IR coding

ICD-10 coding

AHIMA/AAPC credentials

Excel

EMR systems

Education

High School Diploma / GED

Tools

ecac encoder

3M encoder

EPIC encoder

Job description

Optum Coding Specialist

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.

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

Primary Responsibilities:

• Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Acute Interventional Radiology 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 Edits
• 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 Optum
• 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 manager

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
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, and CPC-A) to be maintained annually
• 2+ years of Outpatient Facility Interventional Radiology coding experience
• 2+ years of ICD-10 experience
• Ability to use a PC in a Windows environment, including Microsoft Excel and EMR systems
• Ability to work 40 hours a week 5 days per week including the flexibility to work occasional overtime per business needs

Preferred Qualifications:

• Experience with various encoder systems (eCAC, 3M, EPIC)
• Intermediate level of experience with Microsoft Excel (create, data entry, save)

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 service

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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 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 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.

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.