Remote Senior Inpatient Medical Coder – Acute Edits

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

Benefits offered by this job

comprehensive benefits

incentive programs

equity stock purchase

401k contribution

Job summary

Optum360, part of UnitedHealth Group, is hiring a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. You'll correct CCI, MUE, and Medical Necessity edits and ensure coding accuracy based on policies and documentation.

The role is full-time, Monday–Friday, 8:00am–5:00pm with potential overtime. You will identify ICD-10-CM/PCS codes for inpatient and CPT/ICD-10 for outpatient services, provide feedback to physicians, and stay current with coding guidelines.

Qualifications

• High School Diploma/GED required.
• Professional coder certification with AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) and annual maintenance.
• 3+ years inpatient medical coding experience with ICD-10-CM/PCS & DRG.
• 2+ years experience with OCE, MUE and NCCI.
• Proficiency with Windows PC, MS Excel, and EMR systems.
• Experience in level I trauma center and teaching hospital coding environments.

Responsibilities

• Identify ICD-10-CM/PCS codes for inpatient services and their impact on DRG.
• Identify CPT and ICD-10 codes for outpatient surgery, observation, and ancillary services.
• Understand APC codes and apply coding guidelines.
• Provide documentation feedback to physicians and query when appropriate.
• Maintain up-to-date coding knowledge and participate in meetings.

Skills

Inpatient coding

Outpatient coding

CPT/ICD-10 coding

DRG understanding

Coding policies

Education

AHIMA/AAPC certification

High School Diploma/GED

Tools

MS Excel

EMR systems

Job description

Optum360, part of UnitedHealth Group, is hiring a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. You'll correct CCI, MUE, and Medical Necessity edits and ensure coding accuracy based on policies and documentation.

The role is full-time, Monday–Friday, 8:00am–5:00pm with potential overtime. You will identify ICD-10-CM/PCS codes for inpatient and CPT/ICD-10 for outpatient services, provide feedback to physicians, and stay current with coding guidelines.