Remote Senior Inpatient Acute Edits Medical Coder

UMR; United States; À distance; USD 33 000 - 59 000; Plein temps

Résumé du poste

Optum is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. The role focuses on correct ICD-10-CM/PCS coding, DRG impact, CPT and ICD-10 coding for outpatient services, and adherence to official guidelines.

You will provide feedback to physicians under leadership and maintain current coding knowledge. Requirements include AHIMA/AAPC credentials, 3+ years inpatient coding, and OSHPD/encoder experience.

Qualifications

• High School Diploma or GED.
• AHIMA/AAPC professional coder certification (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P)
• 3+ years inpatient ICD-10-CM/PCS with DRG experience
• 2+ years OCE/MUE/NCCI experience
• MS Excel and EMR proficiency
• Experience in level I trauma center/teaching hospital with complex procedures

Responsabilités

• Identify ICD-10-CM/PCS coding for inpatient services and DRG impact.
• Identify CPT/ICD-10 coding for outpatient services and facilities.
• Understand APC codes and charge classifications.
• Abstract data elements during chart review for coding.
• Provide documentation feedback to providers and query physicians.
• Maintain up-to-date coding knowledge via QMManager and Director of Coding/Quality Management.

Connaissances

ICD-10-CM/PCS coding

DRG knowledge

OCE/MUE/NCCI experience

MS Excel

EMR systems

eCAC

3M Encoder

EPIC

Formation

High School Diploma/GED

AHIMA/AAPC credential

Outils

OSHPD reporting

Description du poste

Optum is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. The role focuses on correct ICD-10-CM/PCS coding, DRG impact, CPT and ICD-10 coding for outpatient services, and adherence to official guidelines.

You will provide feedback to physicians under leadership and maintain current coding knowledge. Requirements include AHIMA/AAPC credentials, 3+ years inpatient coding, and OSHPD/encoder experience.