Remote Senior Inpatient Coder: Acute Edits & Denials

DaMar Staffing; United States; Remote; USD 50,000 - 89,000; Full time

Job summary

UnitedHealth Group's Optum division is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding, handle acute edits, and address denials while ensuring documentation supports proper DRG assignments.

The role requires an associate degree and AHIMA/AAPC credentials, at least two years of acute care coding experience, and familiarity with ICD-10-PCS and DRG logic.

Qualifications

• Associate's degree required.
• Coder credentials (AHIMA or AAPC) required on hire and maintained annually.
• 2+ years of Coding experience.
• 2+ years of Acute Care inpatient coding experience.

Responsibilities

• Work acute inpatient hospital claim edits, denials, 3-day rule combines and other secondary work queues.
• Recodes medical records to satisfy the claims, edits, and denials using coding classifications.
• Analyzes medical records to ensure accurate coding and send provider feedback to improve documentation.
• Collects and abstracts data elements.
• Assists customers to address complex issues related to unbilled and incomplete records.
• Identifies and suggests areas of improvement in high compliance risk coding areas.
• Combine accounts; identifies codes that require charge build, collaborates with other departments on charging and documentation requirements.
• Other duties as assigned.

Skills

Acute inpatient coding

Coding accuracy

Medical terminology

Education

Associate's degree

AHIMA/AAPC coding credentials

Job description

UnitedHealth Group's Optum division is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding, handle acute edits, and address denials while ensuring documentation supports proper DRG assignments.

The role requires an associate degree and AHIMA/AAPC credentials, at least two years of acute care coding experience, and familiarity with ICD-10-PCS and DRG logic.