Remote Senior Medical Coder (CPC/CCS-P)

DaMar Staffing; Chelmsford (MA); On-site; USD 33,000 - 59,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k contribution

Equity stock purchase plan

Job summary

UnitedHealth Group is hiring a Medical Coder to join our Revenue Operations team in a remote-eligible role across the United States. You will code CPT/HCPCS/ICD-10 for diverse care settings, prepare and transmit claims, and resolve coding inquiries with providers and payers.

The position emphasizes accuracy, compliance, and timely billing. Requirements include a high school diploma, CPC/CCS-P/CCS/CPC-H certification, and 2+ years of coding experience, plus familiarity with billing software.

Qualifications

• High School Diploma or GED required.
• Certified coder CPC, CCS-P, CCS, or CPC-H.
• Medical terminology certificate or equivalent knowledge.
• 2+ years of coding work experience.
• 6+ months of experience and proficiency in current billing software.
• Intermediate knowledge of ICD-10, CPT and HCPCS coding.
• Demonstrated knowledge of third-party billing.
• Ability to work independently and as part of a team.
• Excellent organizational and communication skills.

Responsibilities

• Code a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Contact providers or their representatives regarding inappropriate, incomplete or unclear coding.
• Search for information in cases where the coding is complex or unusual; forward unresolved coding questions to manager for review.
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Work with auditors on coding documentation errors and payor updates; communicate back to the team when appropriate.
• Work with manager on workload to ensure month end completion and accuracy.
• Follow up on outstanding coding related receivables following standard Revenue Operations policy/procedure/process and based upon payer filing deadlines.
• Initiate refunds when appropriate for all third-party insurance receipts in accordance with governmental and insurance contract agreements.
• Ensure appropriateness of payer rejections and denials for coding related reasons.
• Contacts payers/governmental agencies regarding coding related denials and appeals as appropriate following established Revenue Operations policy/procedure/process.
• Notify manager of any coding denial trends.
• Respond to coding related inquiries from providers and support staff and others as requested.
• Must keep current of governmental and other payor coding and reimbursement rules and requirements.
• Maintains productivity, quality standards and processing timelines as established by Revenue Operations Metrics.
• Ensures compliance with payer filing deadlines.
• Cooperates fully with all governmental and third-party insurer audits.
• Adheres to all governmental and third-party compliance issues as directed.
• Complies with health and safety requirements and with regulatory agencies such as DPH, etc.
• Complies with established departmental policies, procedures, and objectives.
• Enhance professional growth and development through educational programs, webinars, etc.
• Performs other similar and related duties as required or directed.
• Regular, reliable and predicable attendance is required.

Skills

Medical coding

ICD-10 coding

CPT coding

HCPCS coding

Billing software

Independent worker

Team collaboration

Professional communication

Education

High School Diploma/GED

CPC, CCS-P, CCS, CPC-H certifications

Medical terminology certificate

Tools

Billing software experience

Job description

UnitedHealth Group is hiring a Medical Coder to join our Revenue Operations team in a remote-eligible role across the United States. You will code CPT/HCPCS/ICD-10 for diverse care settings, prepare and transmit claims, and resolve coding inquiries with providers and payers.

The position emphasizes accuracy, compliance, and timely billing. Requirements include a high school diploma, CPC/CCS-P/CCS/CPC-H certification, and 2+ years of coding experience, plus familiarity with billing software.