(OP) OB Pro-fee Medical Coder

UnitedHealth Group; Plymouth (MN); Remote; Full time

Job summary

A leading healthcare organization is seeking a dedicated Outpatient Coder to join their team. This full-time role involves coding for outpatient services, ensuring compliance with coding guidelines, and maintaining performance standards. The position offers flexibility to telecommute from anywhere in the U.S., providing an opportunity to contribute to a vital area of healthcare.

Benefits

Sign-on bonus

Comprehensive benefits package

401k contribution

Qualifications

• 3+ years of outpatient physician coding experience required.
• Professional coder certification must be maintained annually.

Responsibilities

• Identify appropriate assignment of CPT and ICD-10 codes.
• Adhere to coding guidelines and maintain performance standards.

Skills

ICD-10

CPT Coding

ProFee Coding

Microsoft Excel

Education

High School Diploma / GED

Professional coder certification

Tools

eCAC

3M

EPIC

Meditech

Job description

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Healthcare isn’t just changing. It’s growing more complex every day. ICD – 10 Coding replaces ICD – 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that’s what fueled these exciting new opportunities.

Who are we? Optum360. We’re a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we’ll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.

If you’re looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It’s an opportunity to do your life's best work.SM

Schedule: This position is full-time (40 hours/week). Employees will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). 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:

• Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Expert knowledge in all ProFee coding specialties; General Surgery, Evaluation & Management, PT/OT, Lab, Emergency Room, and Trauma
• Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Abstract additional data elements during the chart review process when coding, as needed
• 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 Optum360
• Provide documentation feedback to providers, as needed, and query physicians when appropriate
• 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
• Review and maintain a record of charts coded, held, and / or missing
• 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 (or higher)
• Professional coder certification with credentialing from AHIMA and/or AAPC (ROCC, CPC, COC, CPC-P, CCS) to be maintained annually
• 3+ years of Outpatient physician coding (ProFee) coding experience
• Experience with ICD-10
• Ability to use a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and EMR systems
• Ability to work 40 hours/week. Hours are flexible; will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required)

Preferred Qualifications:

• Experience with various encoder systems (eCAC,3M, EPIC, Meditech)
• Intermediate level of experience with Microsoft Excel (create, data entry, save)
• Experience with OSHPD reporting

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 that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington residents is $18.80 to $36.78. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED

About the company

UnitedHealth Group Incorporated is an American multinational managed healthcare and insurance company based in Minnetonka, Minnesota.