SDS/Observations Medical Coder - National Remote

Lensa; Boston (MA); Remote; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare organization seeks an SDS/Observations Medical Coder, responsible for coding outpatient services efficiently while maintaining high standards of accuracy. The ideal candidate will have extensive coding experience, credentialing, and a commitment to ongoing learning, contributing to healthcare improvement efforts nationwide. Enjoy the flexibility of telecommuting and a sign-on bonus for external applicants.

Benefits

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Sign-on bonus for external candidates

Qualifications

• Requires 2+ years of outpatient facility coding experience.
• Must have CPT and ICD-10 coding knowledge.
• Current coding credential from AHIMA or AAPC is mandatory.

Responsibilities

• Identify and assign CPT and ICD-10 codes for outpatient services.
• Analyze/correct CCI Edits and Medical Necessity Edits.
• Participate in coding meetings and educational events.

Skills

CPT and ICD-10 Coding

Data Analysis

Medical Coding Ethics

Communication

Education

High School Diploma/GED

Coding Credential (AHIMA or AAPC)

Tools

MS Excel

EMR Systems

Job description

SDS/Observations Medical Coder - National Remote

SDS/Observations Medical Coder - National Remote

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Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

Optum 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. Employees are required to have flexibility to work our business hours and will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need to work occasional weekends and overtime.

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 facility
• Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Abstract additional data elements during the chart review process when coding, as needed
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
• Provide documentation feedback to providers, as needed and query physicians when appropriate
• Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among others
• Participate in coding department meetings and educational events
• Review and maintain a record of charts coded, held and/or missing
• Additional responsibilities as identified by manager
  
  

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• High School Diploma/GED (or higher)
• Current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)
• 2+ years of outpatient facility coding experience
• 2+ years of experience working with Same Day Surgery Coding
• 2+ years of ICD-10 experience
• Intermediate 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 privacy
• Ability 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.

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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 believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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

If you have questions about this posting, please contact [e-mail]

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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