Remote Medical Billing Charge Capture Specialist

Careerwebsite; Concord, Northern (CA, KY); Hybrid; USD 33,000 - 59,000; Full time

Job summary

UnitedHealth Group is seeking a remote Medical Coder to interpret clinical documentation and assign appropriate codes. The role requires experience with E/M levels, diagnosis and procedures, and Epic EHR, with strong attention to guidelines and audits.

Responsibilities include querying providers, conducting coding audits, mentoring others, and ensuring compliance with federal, state, and local coding standards.

Qualifications

• High School Diploma or GED is required.
• Experience documenting procedures, supplies and E/M levels.
• Proficiency with Microsoft Office.

Responsibilities

• Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes
• Utilize resources and reference materials to identify appropriate medical codes and reference code applicability, rules, and guidelines
• Apply understanding of relevant medical coding subject areas to assign appropriate medical codes
• Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
• Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
• Follow up with providers as necessary when responses to queries are not provided in a timely basis
• Utilize medical coding software programs or reference materials to identify appropriate codes
• Read and interpret medical coding rules and guidelines to make decisions
• Apply post-query response to make final determinations
• Make determinations on medical charting and take initiative to complete reviews independently to avoid delays in the process
• Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
• Manage multiple work demands simultaneously to maintain productivity
• Provide information or respond to questions from medical coding quality audits
• Perform medical coding audits to evaluate medical coding quality
• Review medical coding audit results -Follow steps per agreement with medical coding audit results to resolve discrepancies
• Provide resources and information to substantiate medical coding audit findings
• Educate and mentor others to improve medical coding quality
• Apply understanding of National Correct Coding Edits to the coding process
• Demonstrate understanding of National and Local coverage determinations
• Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
• Follow relevant professional code of ethics consistent with required certifications
• Attain and/or maintain relevant professional certifications and continuing education seminars as required
• Leverage relevant computer software programs to record information, analyze data, or communicate with others
• Utilize and navigate across clinical software applications to assign medical codes or complete reviews

Skills

Microsoft Office

Education

High School Diploma/GED

Tools

Epic EHR

Job description

UnitedHealth Group is seeking a remote Medical Coder to interpret clinical documentation and assign appropriate codes. The role requires experience with E/M levels, diagnosis and procedures, and Epic EHR, with strong attention to guidelines and audits.

Responsibilities include querying providers, conducting coding audits, mentoring others, and ensuring compliance with federal, state, and local coding standards.