Medical Coder

ISHE; The Villages, Northern (FL, KY); On-site; USD 27,552,000 - 49,594,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental, Vision, Life & AD&D

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Employee Referral Bonus Program

Voluntary Benefits

Job summary

UnitedHealth Group is seeking a Medical Coder to join its Optum team. This role focuses on analyzing and coding claim information accurately, ensuring compliant documentation and payer-ready records from home.

You will work a 40-hour week, primarily for telecommuting within the U.S., with supervision guiding priority and schedule. Strong coding credentials and reliable internet are essential for success.

Qualifications

• Six months of experience with professional fee billing and coding reimbursement.
• Six months of knowledge in medical terminology.
• Access to a designated quiet workspace at home with PHI security.
• Live in a location with UnitedHealth Group approved high-speed internet.

Responsibilities

• Analyzes and codes claim information in a timely and accurate manner.
• Provides written explanations ensuring quality data and timely review.
• Ensures department benchmarks are met or exceeded with current industry standards and technologies.
• Maintains professional skills and aligns with organizational goals.
• Manages and prioritizes DME claims ensuring timely adjudication and proper documentation.
• Performs other duties as assigned.

Skills

Medical terminology knowledge

PHI security/workspace

High-speed internet access

Education

CPC, COC, CCS or CCS-P certification (AAPC/AHIMA)

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.

As part of Optum, 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.

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 welfare 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.)

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

• 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.

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