Acute Facility ED Coder

DaMar Staffing; United States; Remote; USD 55,104,000 - 101,942,000; Full time

Job summary

UnitedHealth Group is seeking a Coder II to join the Health Information Management Team. You will apply diagnostic and procedural codes to patient records for data retrieval, analysis, and claims processing, while ensuring alignment with regulatory guidelines.

This remote role allows telecommuting from anywhere in the U.S. Required credentials include AHIMA/AAPC certification and 2+ years of coding experience, with proficiency in ICD-10-CM and CPT coding.

Qualifications

• Analytical and critical thinking skills to analyze health data
• Knowledge of ICD-10-CM, CPT-4 and HCPCS classification
• Understanding of HIPAA and privacy regulations in health data
• Ability to communicate findings clearly to providers and teams

Responsibilities

• Assign ICD-10-CM and CPT codes for diagnoses and procedures
• Review provider documentation for accuracy and completeness
• Enter data into encoder/abstracting systems per guidelines
• Ensure coding meets KPI-driven timelines
• Support governance and education activities within HIM

Skills

Analytical thinking

Problem solving

ICD-10-CM knowledge

HIPAA knowledge

Communication skills

Education

AHIMA/AAPC credential

High School Diploma or equivalent

Tools

OptumCAC

Cerner

MS Word

Job description

Coder II

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.

The Coder II is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS and other regulatory agencies.

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

Key Responsibilities:

• Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for ED admissions
• Can code ancillary charts if needed
• Review provider documentation to determine reason for visit, first listed and secondary diagnosis codes and surgical procedures following official coding guidelines
• Provide documentation feedback to providers, as needed
• Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT codes for procedures
• Extract required information from source documentation and enter into encoder and abstracting system
• Review documentation to verify and when necessary, correct the patient disposition upon discharge
• Prioritize work to ensure timeframe of medical record coding meets established KPI's
• Serve as a resource for coding related questions as appropriate
• Meet performance and quality standards at the Coder I level
• Participate in department meetings and educational events
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines
• Assists with OSHPD correction
• Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc

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 or equivalent required
• Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Anatomy / Physiology, Medical Terminology and ICD-10 and CPT coding courses etc
• Have and maintain current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P CPC or CPC-H)
• 2+ years of coding and abstracting experience or equivalent combination of education and experience required
• 2 years Emergency and Ancillary facility coding experience*
• Must have ICD-10 coding experience
• Ability to use a PC in a Windows environment, including MS Word and EMR systems
• Ability to pass all pre-employment requirements including, but not limited to: drug screening, background check, and coding technical assessment

*One year of experience will be waived for those who have attended the Dignity Health Coding Apprenticeship Program.

Preferred Qualifications:

• Experience with various Encoder systems (i.e., OptumCAC, Cerner)
• Intermediate level of Microsoft Excel
• Experience with coding and charge validation

Knowledge, Skills and Abilities:

• Analytical / Critical thinking
• Problem Solving
• Knowledge and application of ICD-10-CM, HCPCS and CPT-4 classification systems
• Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels
• Knowledge of information privacy laws, access, release of information, and release control technologies
• Knowledge of hospital protocols and procedures
• Working knowledge of functional relationships between departments within a healthcare or similar environment
• Knowledge of TJC, HIPAA, HCFA, Title 22, security principles, guidelines, and standard healthcare practices
• Demonstrated competence with personal computers, networks, and Microsoft Office

*All Telecommuters 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 believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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.

#RPO, #GREEN