Remote E&M Coder/Auditor — Provider Education & Claims Review

Optum; Plymouth (MN); On-site; USD 42,000 - 74,000; Full time

Job summary

Optum is a global health services company delivering care through technology to help people live healthier lives. This full-time position involves provider education via phone and email on coding and documentation guidelines, and auditing outpatient claims for accuracy.

The role is remote from anywhere in the United States, with CST hours 8:00 AM–4:00 PM and occasional overtime. Required are CPC/COC/AHIMA/AAPC credentials and 2+ years of medical coding/auditing experience.

Qualifications

• High School Diploma or GED is required.
• Professional coder certification (CPC/COC) with AHIMA/AAPC credentialing is required and renewed annually.
• Medical coding or auditing experience within the past year is required.
• 2+ years of E&M medical coding experience is required.
• 2+ years of interaction with physicians in a medical setting is required.
• 2+ years of high-volume telephonic experience is required.

Responsibilities

• Educational outreach to providers via phone and email explaining coding and documentation guidelines.
• Primary focus on provider outreach 80–90% of the time; discuss with individuals or groups as needed.
• Audit outpatient claims to validate services, codes, modifiers, and units; provide written feedback per guidelines.

Skills

Telephonic experience

EMR proficiency

Microsoft Office

Medical coding understanding

Audit skills

Education

High School Diploma/GED

CPC/COCAHIMA/AAPC certification

Tools

EMR software

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Optum is a global health services company delivering care through technology to help people live healthier lives. This full-time position involves provider education via phone and email on coding and documentation guidelines, and auditing outpatient claims for accuracy.

The role is remote from anywhere in the United States, with CST hours 8:00 AM–4:00 PM and occasional overtime. Required are CPC/COC/AHIMA/AAPC credentials and 2+ years of medical coding/auditing experience.