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

University of Minnesota School of Nursing; Chelmsford (MA); On-site; USD 33,000 - 59,000; Full time

Benefits offered by this job

a comprehensive benefits package

incentive and recognition programs

equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a skilled Medical Coder to join our reimbursement operations. You will code a variety of medical records using CPT, HCPCS and ICD-10, prepare and transmit claims, and work with payers to resolve denials and ensure compliant billing.

This remote role offers flexible telecommuting from anywhere in the U.S. with opportunities to collaborate across teams, meet month-end targets, and contribute to accurate revenue cycle management while maintaining high professional

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 and proficiency in current billing software.
• ICD-10, CPT and HCPCS coding knowledge.
• Knowledge of third-party billing.
• Ability to work independently and as part of a team.
• Professional and courteous manner when interacting with physicians/providers.
• 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, ambulatory surgery center and other charges for physicians and other providers of professional billing.
• 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 in cases where the coding is complex or unusual. Forward unresolved coding questions to manager for review and comment.
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Works directly with the auditors on coding documentation errors and payor updates. Communicates back to the team when appropriate.
• Works with manager on workload to ensure month end completion and accuracy.
• Follows up on outstanding coding related receivables following standard Revenue Operations policy/procedure/process and based upon payer filing deadlines.
• Initiate refunds when appropriate for all third-party insurance receipts in accordance with governmental and insurance contract agreements.
• Ensures appropriateness of payer rejections and denials for coding related reasons.
• Contacts payers/governmental agencies regarding coding related denials and appeals as appropriate following established Revenue Operations policy/procedure/process.
• Notify manager of any coding denial trends
• Responds to coding related inquiries from providers and support staff and others as requested
• Must keep current of governmental and other payor coding and reimbursement rules and requirements
• Maintains productivity, quality standards and processing timelines as established by Revenue Operations Metrics
• Ensures compliance with payer filing deadlines
• Cooperates fully with all governmental and third-party insurer audits
• Adheres to all governmental and third-party compliance issues as directed
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives
• Enhance professional growth and development through educational programs, webinars, etc.
• Performs other similar and related duties as required or directed
• Regular, reliable and predicable attendance is required

Skills

Independent work

Team collaboration

Organization skills

Communication skills

Education

CPC/CCS-P/CCS/CPC-H coder certification

Medical terminology certificate

Tools

Billing software

Job description

UnitedHealth Group is seeking a skilled Medical Coder to join our reimbursement operations. You will code a variety of medical records using CPT, HCPCS and ICD-10, prepare and transmit claims, and work with payers to resolve denials and ensure compliant billing.

This remote role offers flexible telecommuting from anywhere in the U.S. with opportunities to collaborate across teams, meet month-end targets, and contribute to accurate revenue cycle management while maintaining high professional