Remote Senior Inpatient Coder: DRG Expertise & Denials

Texas Health Institute; Eden Prairie (MN); Hybrid; USD 33,000 - 59,000; Full time

Job summary

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation and coding.

Responsibilities include querying physicians, working with editors, and supporting payer and compliance reviews. Medical terminology and EPIC experience are beneficial.

Qualifications

• Associate's degree required.
• Credentials: AHIMA or AAPC certifications listed upon hire and maintained annually.
• 2+ years of coding experience.
• 2+ years of acute care inpatient coding experience.

Responsibilities

• Work inpatient claim edits, denials, 3-day rule combines and other secondary work queues.
• Recodes medical records to ensure data integrity and proper assignments.
• Analyzes medical records to improve coding accuracy and provider feedback for documentation.
• Collects and abstracts data elements.
• Assist customers with unbilled and incomplete records.
• Identify areas of improvement in high compliance risk coding areas.
• Collaborate on charging and documentation requirements across departments.
• Other duties as assigned.

Skills

Inpatient coding

MUE edits

Denials resolution

CCI coding

Query physicians

Education

Associate's degree

Tools

EPIC

ICD-10-PCS

Job description

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation and coding.

Responsibilities include querying physicians, working with editors, and supporting payer and compliance reviews. Medical terminology and EPIC experience are beneficial.