Remote Senior Inpatient Coder | Acute Care & Denials Expert

ISHE; Eden Prairie (MN); Hybrid; USD 33,000 - 59,000; Full time

Job summary

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to correct CCIs, MUE edits, and medical necessity edits, while handling three-day rule combinations and other queues. This remote role supports Allina Health in ensuring accurate inpatient coding.

You will query physicians for documentation and assign MS-DRG/APR-DRG, with a focus on compliance and data integrity, leveraging strong coding knowledge.

Qualifications

• Associate's degree required.
• Coding credentials required on hire (RHIA/RHIT/CCS/CIC, AHIMA or AHIMA/AAPC).
• 2+ years of inpatient hospital coding experience.

Responsibilities

• Work acute inpatient hospital claim edits, denials, 3-day rule combines and other secondary queues for Allina Health.
• Recodes medical records to satisfy claims, edits, and denials using coding classifications to ensure data integrity.
• Analyzes medical records to ensure accurate coding and provide provider feedback to improve documentation.
• Collects and abstracts data elements.
• Assists customers with unbilled and incomplete records.
• Identifies and suggests improvements in high compliance risk coding areas.
• Combine accounts and collaborate on charging and documentation requirements; participate in payer and compliance reviews.
• Other duties as assigned.

Skills

2+ years coding experience

2+ years acute inpatient coding

Education

Associate's degree

Job description

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to correct CCIs, MUE edits, and medical necessity edits, while handling three-day rule combinations and other queues. This remote role supports Allina Health in ensuring accurate inpatient coding.

You will query physicians for documentation and assign MS-DRG/APR-DRG, with a focus on compliance and data integrity, leveraging strong coding knowledge.