Remote Outpatient Observation Medical Coder

UnitedHealth Group; United States; Remote; USD 28,000 - 50,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentives and recognition programs

Equity stock purchase

Job summary

UnitedHealth Group is seeking a skilled medical coder to assign CPT and ICD-10 codes for outpatient Ambulatory Observation, following official guidelines and client-specific rules. You will review charts, correct edits, and ensure compliance with Medicare APC structures.

The role requires AHIMA or AAPC credentials, 2+ years in observation and ICD-10 experience, plus proficiency with Windows and MS Excel. Remote work from anywhere in the United States is supported.

Qualifications

• High School Diploma or GED required.
• Active AHIMA or AAPC credentials (RHIA/RHIT/CCS/CCS-P/CPC or CPC-H) required.
• Minimum 2 years in Same Day Surgery coding.
• Minimum 2 years of observation coding.
• Minimum 2 years of ICD-10 experience.
• Proficiency with Windows environment and MS Excel; EMR experience preferred.

Responsibilities

• Identify CPT and ICD-10 Code assignments for outpatient Ambulatory Observation per official coding guidelines and client guidelines.
• Analyze and correct CCI Edits and Medical Necessity Edits.
• Understand Medicare APC codes.
• Abstract additional data during chart review as needed.
• Maintain coding quality and productivity per Optum360 standards.
• Provide documentation feedback to providers and query physicians as needed.
• Stay current with coding knowledge from QM Manager and Directors.

Education

High School Diploma or GED

AHIMA or AAPC credentials (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)

2+ years Same Day Surgery Coding

2+ years Observation coding

2+ years ICD-10 experience

MS Windows proficiency (MS Excel)

Tools

EMR systems

MS Excel

Job description

UnitedHealth Group is seeking a skilled medical coder to assign CPT and ICD-10 codes for outpatient Ambulatory Observation, following official guidelines and client-specific rules. You will review charts, correct edits, and ensure compliance with Medicare APC structures.

The role requires AHIMA or AAPC credentials, 2+ years in observation and ICD-10 experience, plus proficiency with Windows and MS Excel. Remote work from anywhere in the United States is supported.