Medical Coder

Optum; Worcester (MA); Remote; USD 40,000 - 73,000; Full time

Benefits offered by this job

Paid time off

Medical plan with HSA/Health Spending

Dental, Vision, Life & AD&D insurance

401(k) & Employee Stock Purchase Plan

Education reimbursement

Employee discounts

Employee assistance program

Employee referrals bonus

Voluntary benefits

Job summary

Optum, part of UnitedHealth Group, is seeking a physician-based coder to join a remote team. The role focuses on coding medical records with CPT, HCPCS and ICD-10, preparing and submitting claims, and ensuring accuracy and compliance across diverse care settings.

Candidates should have 2+ years of physician-based coding experience, relevant certifications, and proficiency with Microsoft Office and EPIC. Telecommuting from anywhere in the U.S. is possible.

Qualifications

• High School Diploma or GED required.
• 2+ years of physician-based coding experience.
• Certifications: CPC, CCS-P, or CPC-A.
• Experience with ICD-10, CPT and HCPCS coding.
• Proficiency with Microsoft Office suite.

Responsibilities

• Code medical records using CPT, HCPCS and ICD-10 across settings.
• Prepare and transmit claims using billing software.
• Contact providers regarding coding issues.
• Ensure codes are accurate and properly sequenced per regulations.
• Maintain productivity and comply with audits and deadlines.

Skills

Excellent organizational skills

Strong communication skills

Team collaboration

Education

High School Diploma/GED

CPC, CCS-P, or CPC-A

Tools

EPIC

Microsoft Excel

Microsoft Outlook

Microsoft Teams

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 (38.75 hours):

Following training, hours will be 7.75 hours Monday-Friday between the hours of 6am-6pm EST. Candidates residing in EST or CST preferred.

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

Primary Responsibilities

• Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing
• Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing
• Contact providers or their representatives regarding inappropriate, incomplete or unclear coding
• Searches for information in cases where the coding is complex or unusual. Forwards unresolved coding questions to manager for review and comment
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Notifies manager of any coding denial trends
• Responds to coding related inquiries from providers and support staff and others as requested
• Must keep current of governmental and other payor coding and reimbursement rules and requirements
• Reports accurate productivity and other data as requested
• Maintains productivity, quality standards and processing timelines as established by Revenue Operations Metrics
• Ensures compliance with payer filing deadlines
• Cooperates fully with all governmental and third-party insurer audits
• Adheres to all governmental and third-party compliance issues as directed
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives
• Enhances professional growth and development through educational programs
• Performs other similar and related duties as required or directed
• Regular, reliable, and predicable attendance is required

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 directions 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
• Possess certifications: CPC, CCS-P, or CPC-A
• 2+ years of physician-based coding experience

Preferred Qualifications

• 2+ years of experience with ICD-10, CPT and HCPCS coding
• Multi-specialty office-based coding experience preferred
• Previous EPIC experience
• Certified Coder - Billing and Coding
• Proficiency with Microsoft software (including Outlook, Teams, Excel, etc.)

Soft Skills

• Excellent organizational and communication skills
• Ability to work independently and as part of a team
• Demonstrate a professional and courteous manner when interacting with physicians/providers, clinical department staff and co-workers
• 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 - $36 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.

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.