Medicare Advantage Coding Specialist

Optum; Las Vegas (NV); On-site; USD 28,000 - 50,000; Full time

Benefits offered by this job

Medical plan options

Dental & Vision insurance

401(k) plan

Education reimbursement

Employee assistance program

Employee referral bonus

Voluntary benefits

Job summary

UnitedHealth Group is seeking a Medical Coder to support IPA providers with ICD-10 coding education and CMS documentation guidelines. The role trains clinicians to improve health profiles and outcomes, while performing concurrent reviews and coding audits.

You will build relationships with clinic partners, adhere to project milestones, and contribute to quality measures and care coordination across teams.

Qualifications

• High School Diploma or GED required.
• Coding certification from AAPC or AHIMA within 12 months of hire.
• 1+ year of coding experience with ICD-10.
• Associates degree or equivalent related experience.
• 2+ years of Medicare Advantage - Risk Adjustment coding knowledge.
• Strong attention to detail and knowledge of CMS rules and regulations.
• Proficient with EMR systems and Microsoft Office.

Responsibilities

• Train clinical documentation skills for complete reporting of diagnoses.
• Perform concurrent reviews and targeted chart/HEDIS retrievals.
• Communicate coding audit findings to providers to ensure CMS compliance.
• Develop analysis for quality measures and care coordination.
• Manage multiple tasks and projects with limited supervision.

Skills

ICD-10 coding

CMS guidelines

HEDIS knowledge

Data analysis

EMR systems

Microsoft Office

Attention to detail

Communication skills

Education

AAPC/AHIMA coding certification

RN/LPN with AHIMA/AAPC certification within 12 months

Associates degree in related field

High School Diploma or GED

Tools

EMR systems

Facets

Data RAP

Alliance

MS Office

Job description

UnitedHealth Group is seeking a Medical Coder to support IPA providers with ICD-10 coding education and CMS documentation guidelines. The role trains clinicians to improve health profiles and outcomes, while performing concurrent reviews and coding audits.

You will build relationships with clinic partners, adhere to project milestones, and contribute to quality measures and care coordination across teams.