Senior Ambulatory Coder (Remote) – CPT/ICD-10 Edits

York County Bar Association; Eden Prairie, Northern (MN, KY); Hybrid; USD 50,000 - 89,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

UnitedHealth Group is seeking a Senior Ambulatory Medical Coder Edits to remotely determine CPT and ICD-10 Edits for Professional Coding Services. You will ensure accuracy per coding policies and documentation, under the Coding Operations Manager. This full-time role offers telecommuting from anywhere in the U.S.

and requires 8-hour shift flexibility. You will apply coding knowledge to analyze edits, maintain up-to-date CPT/ICD-10-CM expertise, and provide feedback to physicians while meeting

Qualifications

• High School Diploma/GED.
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, and CPC-A) to be maintained annually.
• 2+ years of Professional/Ambulatory coding experience for all chart types, Same Day Surgery, Observation, Emergency Department, Ancillary services, and Clinics.
• 1+ years of LCD, NCD, Medical Necessity, Modifier Edits, OCE, MUE and NCCI classification and reimbursement structures.
• 1+ years of experience working with coding payer denials.
• Expert level of proficiency in CPT and ICD-10-CM coding.
• Ability to use a PC in a Windows environment, including MS Excel and EMR systems.

Responsibilities

• Identify appropriate assignments of CPT and ICD-10 Edits for Professional 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 accounts.
• 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.
• Additional responsibilities as identified by manager.

Skills

CPT ICD-10 coding

Payer denial experience

Medical necessity knowledge

MS Excel

EMR systems

LCD/NCD knowledge

Ambulatory coding

Education

High School Diploma/GED

AHIMA/AAPC credential

Tools

Encoder

EPIC

Job description

UnitedHealth Group is seeking a Senior Ambulatory Medical Coder Edits to remotely determine CPT and ICD-10 Edits for Professional Coding Services. You will ensure accuracy per coding policies and documentation, under the Coding Operations Manager. This full-time role offers telecommuting from anywhere in the U.S.

and requires 8-hour shift flexibility. You will apply coding knowledge to analyze edits, maintain up-to-date CPT/ICD-10-CM expertise, and provide feedback to physicians while meeting