SDS Observations Medical Coder | Minnetonka, Minnesota | Remote

UnitedHealthcare; United States; Remote; USD 28,000 - 50,000; Full time

Job summary

UnitedHealthcare is seeking a SDS/Observations Medical Coder for a full-time role. The position offers telecommuting from anywhere in the U.S. and focuses on CPT/ICD-10 coding for outpatient ambulatory observation services per guidelines.

The ideal candidate holds AHIMA or AAPC credentials (RHIA/RHIT/CCS/CCS-P/CPC or CPC-H), has 2+ years in outpatient facility coding, Same Day Surgery coding, ICD-10 experience, and proficiency with EMR and Excel.

Qualifications

• High School Diploma/GED.
• Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H).
• 2+ years outpatient facility coding experience; 2+ years Same Day Surgery Coding; 2+ years ICD-10 experience.

Responsibilities

• Identify appropriate CPT and ICD-10 code assignments for outpatient Ambulatory Observation services.
• Analyze/correct CCI Edits and Medical Necessity Edits per guidelines.
• Maintain up-to-date coding knowledge and provide feedback to providers.
• Participate in coding department meetings and reviews.

Skills

Outpatient facility coding

Same Day Surgery coding

ICD-10 experience

EMR systems

Education

AHIMA or AAPC credentials (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)

Tools

MS Excel

EMR systems

Job description

SDS/Observations Medical CoderOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday.You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facilityApply coding knowledge to analyze/correct CCI Edits and Medical Necessity EditsUnderstand the Medicare Ambulatory Payment Classification (APC) codesAbstract additional data elements during the chart review process when coding, as neededAdhere to the ethical standards of coding as established by AAPC and/or AHIMAAdhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360Provide documentation feedback to providers, as needed and query physicians when appropriateMaintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among othersParticipate in coding department meetings and educational eventsReview and maintain a record of charts coded, held and/or missingAdditional responsibilities as identified by manager

Required Qualifications:

High School Diploma/GEDCurrent coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)2+ years of outpatient facility coding experience2+ years of experience working with Same Day Surgery Coding2+ years of ICD-10 experienceIntermediate level of proficiency with Windows environment including MS Excel and EMR systems

Telecommuting Requirements:

Access to a dedicated work area established that is separated from other living areas and provides information privacyAbility to keep all company sensitive documents secure (if applicable)Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.**PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ('Internal Candidates') are not eligible to receive a sign on bonus.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline:

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.#RPO #GREEN