Medical Coder: ICD-10 & CMS Coding Education Pro

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, 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.