Remote Medical Coder (CPC/CCS-P) – ICD-10 Expert

UnitedHealth Group; Chelmsford (MA); On-site; Confidential; Full time

Job summary

UnitedHealth Group is seeking a qualified Medical Coder to accurately code a wide range of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient and other settings. The position offers telecommute* from anywhere in the U.S.

and supports a collaborative culture focused on high-quality care. You will prepare, review and transmit claims, resolve coding questions, stay current on payer rules, and work with auditors and staff to ensure timely month-end processing and

Qualifications

• High School Diploma/GED or equivalent experience.
• Certified coder: CPC, CCS-P, CCS, CPC-H.
• Medical terminology certificate or demonstrated knowledge.
• 2+ years of coding work experience.
• 6+ months of experience in current billing software.
• Intermediate knowledge in ICD-10, CPT and HCPCS coding (or related coursework).
• Demonstrated knowledge of third-party billing.
• Ability to work independently and as part of a team.
• Professional and courteous interaction with physicians/providers and staff.
• Excellent organizational and communication skills.

Responsibilities

• Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care and other charges.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Contacts providers or their representatives regarding inappropriate, incomplete or unclear coding.
• Search for information when coding is complex; forward unresolved questions to manager.
• Ensure codes are accurate and sequenced correctly per regulations.
• Work with auditors on documentation errors and payor updates; communicate with the team.
• Work with manager on workload for month end completion and accuracy.
• Follow up on receivables according to policy and payer deadlines.
• Initiate refunds for third-party insurance receipts per contracts.
• Address payer rejections and denials for coding reasons; escalate as needed.
• Contact payers regarding denials and appeals following policy.
• Notify manager of denial trends.
• Respond to coding inquiries from providers and staff.
• Stay current with governmental and payer coding and reimbursement rules.
• Maintain productivity, quality standards and timelines per Revenue Operations metrics.
• Ensure compliance with filing deadlines.
• Cooperate with audits and regulatory requirements.
• Adhere to departmental policies and continuous education.
• Perform other duties as required; maintain regular attendance.

Skills

Medical coding

Billing software

Communication skills

Independent & team work

Organization

Education

High School Diploma/GED

Medical terminology certificate or knowledge

Tools

Billing software

Job description

UnitedHealth Group is seeking a qualified Medical Coder to accurately code a wide range of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient and other settings. The position offers telecommute* from anywhere in the U.S.

and supports a collaborative culture focused on high-quality care. You will prepare, review and transmit claims, resolve coding questions, stay current on payer rules, and work with auditors and staff to ensure timely month-end processing and