Medical Coder / Coding

DaMar Staffing; Paradise (CA); In loco; USD 42.000 - 75.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical Plan options

Dental, Vision, Life & AD&D Insurance

401(k) Savings Plan

Education Reimbursement

Employee Assistance Program

Employee Referral Bonus Program

Paid Time Off and Holidays

Descrizione del lavoro

Optum is seeking a Medical Coder to support IPA providers with ICD-10 CM coding education and CMS documentation guidelines to improve health outcomes. The role involves concurrent reviews, chart retrievals, and communicating audit findings to ensure CMS compliance.

You will train clinical documentation skills for complete reporting of diagnoses, build accurate member health profiles, and collaborate with clinics to meet project milestones. Travel up to 50% is required.

Competenze

• 1+ years of coding experience in assignment of ICD-10 diagnostic coding.
• Associates degree in related field, or equivalent experience directly related to the duties and responsibilities of this role.
• Coding Certification from AAPC or AHIMA required or within 12 months of hire.

Mansioni

• Perform concurrent reviews and targeted chart or HEDIS retrievals in provider offices.
• Communicate coding audit findings and CMS guidelines to providers to ensure compliance.
• Develop and implement analysis for quality measures required for member care and outcomes.
• Maintain relationships with clinic partners and support staff to achieve project goals.

Conoscenze

Medical coding

ICD-10 coding

CMS Guidelines

Attention to detail

Communication skills

Problem solving

Formazione

AAPC/AHIMA coding certification

RN/LPN with coding cert within 12 months

Associates degree or related experience

Strumenti

EMR systems

Facets

Data RAP

AHIMA/AAPC coding software

Descrizione del lavoro

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

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. 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. Adhere to project goals / milestones based on identified business needs / timelines, and obtain appropriate approvals. 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. Must adhere to department standards for productivity and performance. Works with less structured, more complex issues.

• 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 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.

• High School Diploma/GED
• ~ Coding Certification from AAPC or AHIMA professional coding association: (Example: CPC, CPC-H, CPC-P, RHIT, RHIA, CCS, CCS-P, CRC etc.) OR RN/LPN with ability to obtain coding certification from AHIMA or AAPC within 12 months of hire
• ~1+ years of coding experience in assignment of ICD-10 diagnostic coding
• ~ Associates degree in related field, or equivalent experience directly related to the duties and responsibilities of this role
• ~2+ years of experience with Medicare Advantage - Risk Adjustment CMS Documentation & Coding Guidelines
• ~ Advanced level of proficiency in exemplary attention to detail and completeness with a thorough understanding of government rules and regulations and areas of scrutiny for potential areas of risk for fraud and abuse regarding coding and documentation
• ~ Demonstrated superior computer experience and ability to learn new computer applications quickly and independently, including: EMR(s), Microsoft Office Suite and other learning content development and publishing software programs
• Proven advanced understanding of medical terminology, pharmacology, body systems and anatomy, physiology, and concepts of disease processes
• Demonstrated ability to manage a significant workload and to work efficiently under pressure meeting established deadlines with limited supervision
• Demonstratedsolid analytical, problem-solving, planning, communication, documentation, and organizational skills with meticulous attention to detail
• Demonstrated ability to communicate in a clear and understandable manner, both orally and in writing; Demonstrated ability to abide by the Standards of Ethical Coding as set forth by AHIMA and AAPC
• Proven customer service centered approach and alignment with UHG Cultural Values
• Experience creating reports related to quality improvement/performance outcomes
• Experience with quality measures such as HEDIS
• Experience with Data RAP, Alliance, Facets systems and any other Electronic Medical Record

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). 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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 Groupis a drug - free workplace.