Remote Medical Coder – Outpatient ICD-10/CPT Specialist

NHSHP; Eden Prairie (MN); Hybrid; USD 57,308,000 - 103,155,000; Full time

Job summary

UnitedHealth Group’s Optum unit seeks an experienced medical coder for full-time remote work in the U.S. You will handle facility outpatient coding, ensure accurate ICD-10/CPT/modifier assignments per guidelines, and maintain coding standards and productivity.

The role requires AHIMA/AAPC certification and 2+ years in ICD-10/CPT coding with observation coding experience, plus Excel proficiency and strong attention to detail. Telecommuting is allowed and benefits are provided.

Qualifications

• High School Diploma/GED
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually
• 2+ years of experience with ICD-10, CPT, and modifiers
• 2+ years of experience in observation coding
• Intermediate level of experience working with a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and various EMR systems with ease
• Intermediate level of attention to detail, accuracy and communication

Responsibilities

• Expert knowledge in all facility outpatient coding types: Observation
• Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Query physicians and forms when appropriate
• Knowledge of ICD-10, CPT and HCPCS coding systems, strong medical terminology
• Knowledge of NCCI edit policies, Medicare LCD and NCD policies
• Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others
• Participate in coding department meetings and educational events
• Additional responsibilities as identified by manager

Skills

ICD-10/CPT coding

Observation coding

Attention to detail

Excel

EMR systems

Education

AHIMA/AAPC certification

High School Diploma/GED

Tools

Microsoft Excel

EMR systems

Job description

UnitedHealth Group’s Optum unit seeks an experienced medical coder for full-time remote work in the U.S. You will handle facility outpatient coding, ensure accurate ICD-10/CPT/modifier assignments per guidelines, and maintain coding standards and productivity.

The role requires AHIMA/AAPC certification and 2+ years in ICD-10/CPT coding with observation coding experience, plus Excel proficiency and strong attention to detail. Telecommuting is allowed and benefits are provided.