Profee Surgical Medical Coder - National Remote

Lensa; Tampa (FL); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Profee Surgical Medical Coder to work remotely across the U.S. This role involves ensuring accurate coding for various medical procedures using ICD-10 and CPT codes. Candidates should have substantial coding experience, a professional certification, and a commitment to maintaining high accuracy and compliance. Enjoy the flexibility of telecommuting while contributing to enhanced health outcomes and participating in a supportive and diverse team culture.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Qualifications

• 3+ years of experience in Professional Services Surgery Coding.
• Intermediate proficiency with MS Office Products.
• Knowledge of anatomy, physiology, and medical terminology.

Responsibilities

• Ensure accuracy of ICD-10 codes, procedure codes, and modifiers.
• Process charge capture documents and reconcile daily reports.
• Conduct coding reviews and assist in staff training.

Skills

Attention to Detail

Customer Service

Multitasking

Education

High School Diploma/GED or higher

Professional AAPC CPC Coding Certification

Job description

Profee Surgical Medical Coder - National Remote

Profee Surgical Medical Coder - National Remote

14 hours ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

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.

Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions.

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

Primary Responsibilities

• Charge Capture
• Review charge capture documents, paper or electronic, for completeness and accuracy
• Reconcile collection of charges to daily census report or schedules depending on place of service
• Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
• Process all pre-billing edits on a daily basis and complete each edit within 2 business days
• Ensure charges are posted within the following time lines: 3 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals
• Denial Management
• Process denials on a daily basis ensuring all requested timelines are met
• Ensure procedure and ICD-10 codes reflect documentation
• Customer Service
• Respond to customer service questions and report recurring issues to management
• Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback
• Competencies
• Attend all staff meetings
• Maintain current Coding Certification and active membership in local AAPC chapter, including participation in local events and meetings
• Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding. This includes Epic’s Electronic Health Record application, Athena, Encoder Pro, and other department specific clinical/coding applications.
• Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution
• Review changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT’s in January
• Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
• Coding Review and Reimbursement Resource
• Conduct annual and focused reviews
• Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization
• Based on management request, assists with the orientation, skill development and mentoring of employees new to the coding function
• Performs similar or related duties as requested or directed
• Performs other duties as requested and observed by supervisor or 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 AAPC CPC Coding Certification
• 3+ years of experience in Professional Services Surgery Coding (General Surgery, Plastics, Urology, Nephrology, Bariatrics, NICU, GI, Neurology, etc.)
• 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
• Intermediate level of proficiency working with MS Office Products
  
  

Preferred Qualifications

• Ability to multitask
• Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, OR CCS-P) to be maintained annually
  
  

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
  
  

Physical Requirements

• The position involves extensive work at computer station
• All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
  
  

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. 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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.

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.

#RPO, #GREEN

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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