Medical Coder

DaMar Staffing; Town of Florida (NY); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan

Dental/ Vision

Job summary

Optum, a UnitedHealth Group company, is seeking a Medical Coder to support IPA Providers with ICD-10 CM coding education and CMS documentation guidelines in Medicare Advantage. The role emphasizes training clinicians to improve accuracy and health outcomes.

Position requires travel up to 50% for chart retrievals and collaboration with providers and clinics; location is Las Vegas, NV, with standard M-F daytime hours and HIPAA compliance as core responsibilities.

Qualifications

• Experience with ICD-10 CM coding education and CMS guidelines.

Responsibilities

• Serve as a Coding and Documentation resource by performing concurrent reviews and targeted chart or HEDIS retrievals.
• Coding audit findings, industry updates and common medical documentation issues will be communicated to providers to ensure CMS and Optum compliance guidelines.
• Will perform coding reviews through Internal System.
• Will perform records retrieval routinely.
• Collaborate with organizational leaders to identify emerging needs and generate solutions.
• Translate concepts into practice.
• Develop and maintain working relationships with clinic partners, including providers and their support staff in person.
• Ability to work with multiple internal and external partners at various levels of the organization.
• Adhere to project goals / milestones based on identified business needs / timelines, and obtain appropriate approvals.
• Adhere to established guidelines for formatting and templates.
• Functions as part of a collaborative, high functioning coding education team.
• Ability to manage multiple tasks and projects, and forge solid interpersonal relationships within the department, with other departments and with external audiences.
• Solid aptitude for quickly troubleshooting and identifying the cause of questionable results within reports, provider documentation or charges submitted.
• Ability to move, lift and / or push 25+ pounds.
• Must maintain flexibility and adjust working hours according to provider needs.
• Must adhere to department standards for productivity and performance.
• Must adhere to HIPAA Confidentiality Standards.
• Generally, work is self-directed and not prescribed.
• Works with less structured, more complex issues.
• Serves as a resource to others.

Job description

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.

Schedule: Monday-Friday, 8-hour shifts between the hours of 7am-5pm PST. Training schedule will be 8:30am-5pm PST. Schedule to be determined by supervisor upon hire.

Location: 2716 North Tenaya Way, Las Vegas, NV 89128. Travel will be required up to 50% of the time for chart retrievals.

The Medical Coder supports IPA (Independent Provider Association) Providers with ongoing ICD-10 CM Coding Education relating to Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines by providing tools to allow for greater meaningful information exchange to allow providers to identify potential new clinical conditions early, reinforce self-care and prevention strategies, coordinate care, improve overall patient outcomes. This position will be responsible for effectively training clinical documentation skills for complete reporting of medical diagnoses to build an accurate health profile for each individual member.

Primary Responsibilities

• Serve as a Coding and Documentation resource by performing concurrent reviews and targeted chart or HEDIS retrievals in provider offices
• Coding audit findings, industry updates and common medical documentation issues will be communicated to providers to ensure CMS and Optum compliance guidelines
• Will perform coding reviews through Internal System
• Will perform records retrieval routinely
• Collaborate with organizational leaders to identify emerging needs and generate solutions
• Translate concepts into practice
• Develop and implement effective analysis, research and evaluation of quality measures required for member demographic (Care of Older Adults (COA), Diagnostic and lab testing)
• Develop and maintain working relationships with our clinic partners, including providers and their support staff in person
• Ability to work with multiple internal and external partners at various levels of the organization
• Adhere to project goals / milestones based on identified business needs / timelines, and obtain appropriate approvals
• Adhere to established guidelines for formatting and templates
• Functions as part of a collaborative, high functioning coding education team
• Ability to manage multiple tasks and projects, and forge solid interpersonal relationships within the department, with other departments and with external audiences
• Solid aptitude for quickly troubleshooting and identifying the cause of questionable results within reports, provider documentation or charges submitted
• Ability to move, lift and / or push 25+ pounds
• Must maintain flexibility and adjust working hours according to provider needs
• Must adhere to department standards for productivity and performance
• Must adhere to HIPAA Confidentiality Standards
• Generally, work is self-directed and not prescribed
• Works with less structured, more complex issues
• Serves as a resource to others

Reasons to consider working for UnitedHealth Group

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.

• 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