Medical Coder

Sustainable World, Inc.; The Villages, Northern (FL, KY); Hybrid; USD 28,000 - 50,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus

Job summary

UnitedHealth Group is hiring a Medical Coder to ensure payer-centric documentation and accurate CPT/HCPCS coding across specialties. Remote work from anywhere in the U.S. with a standard 40-hour schedule.

You will review claims, verify codes, and support timely adjudication while maintaining PHI integrity and compliance with regulations.

Qualifications

• Certified coder with CPC, COC, CCS or CCS-P or equivalent required.
• Minimum 6 months of professional billing and coding experience.
• Knowledge of medical terminology is required.
• Ability to secure Protected Health Information (PHI) in a home workspace.

Responsibilities

• Analyze and code claim information accurately and timely.
• Provide explanations to ensure data quality and timely review.
• Prioritize and complete work per department standards and policies.
• Support DME claims adjudication and documentation requirements.

Skills

Certified coder CPC/COC/CCS

Medical terminology

PHI security awareness

MS Office

Education

High school diploma

Tools

MS Office

Job description

Like you, UnitedHealth Group is strong on innovation. And like you, we'll go the distance to deliver high-quality care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to make an impact.

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 Medical Coder delivers 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 payer-centric approach to care. As a medical coder you will suggest and review claim information and procedure codes for all specialties 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.

Schedule: A 40-hour work week, Monday through Friday, between the hours of 9 am to 5:00pm. The schedule will be determined by the supervisor upon hire.

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

Primary Responsibilities

• Analyzes and codes claim information in a timely and accurate manner.
• Responsible for written explanations ensuring quality data and timely review.
• Completes assigned work ensuring department benchmarks are met or exceeded consistently in accordance with current industry standards and use of current technologies
• Maintains professional skills and remains engaged in the goals and vision of the organization to ensure the department functions efficiently and accurately with integrity
• Manage and prioritize DME claims, ensuring timely adjudication, accurate documentation, and adherence to established policies and procedures.
• Performs other duties as assigned.

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Required Qualifications

• Highschool Diploma
• Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Will consider CPC -A. OR Certified Coding Specialist (CCS), Physician-based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC) is required.
• 6 months of experience with professional fee billing and coding reimbursement and third party payers regulations
• 6 months of knowledge in medical terminology
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications

• The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required.
• 6 months of knowledge of durable medical equipment coding
• Intermediate computer proficiency of MS Office (MS Word, Excel, Outlook and Power Point)

Soft Skills

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN