Medical Coder - Emergency Department 2373308 | Eden Prairie, Minnesota | Remote

UMR; Eden Prairie (MN); Remote; USD 28,000 - 50,000; Full time

Job summary

UnitedHealth Group’s Optum unit is seeking an Outpatient Coding Specialist to join a nationwide telecommute team. The role focuses on accurate ICD-10, CPT, and modifiers for facility services, aligned with AHIMA/AAPC standards and client guidelines. Expect collaboration with QM leadership and ongoing education.

The position offers full-time hours, with overtime as needed, and a competitive hourly rate. A strong emphasis is placed on coding quality, compliance, and professional development within

Qualifications

• Requires AHIMA/AAPC coder certification and annual renewal.
• Minimum 2+ years in ICD-10, CPT, facility charging and modifiers.
• 2+ years in Emergency Room coding.
• Proficient in Windows, Excel, and EMR workflows.

Responsibilities

• Identify appropriate ICD-10, CPT and modifiers for facility services in line with guidelines.
• Adhere to coding ethics and established client coding guidelines.
• Maintain coding knowledge via QM and Director-level communications.
• Participate in department meetings and educational events.
• Communicate with physicians when necessary.
• Deliver quality coding and productivity performance.

Skills

ICD-10 knowledge

CPT/HCPCS coding

NCCI/ER coding knowledge

Excel

EMR systems

Attention to detail

Education

High School Diploma/GED

AHIMA/AAPC coder certification

Tools

Microsoft Excel

EMR systems

Job description

Outpatient Coding Specialist

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime.

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

Primary Responsibilities:

• Expert knowledge in all facility outpatient coding types: Emergency
• Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Query physicians and forms when appropriate
• Knowledge of ICD-10, CPT and HCPCS coding systems, strong medical terminology
• Knowledge of NCCI edit policies, Medicare LCD and NCD policies
• Knowledge of professional ER leveling
• Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
• Participate in coding department meetings and educational events
• Additional responsibilities as identified by manager

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:

• High School Diploma/GED
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually
• 2+ years of experience with ICD-10, CPT, facility charging, and modifiers
• 2+ years of experience in Emergency Room coding
• Intermediate level of experience working with a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and various EMR systems with ease
• Intermediate level of attention to detail, accuracy and communication

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*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). 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.

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.