Senior Inpatient Acute Edits Medical Coder (Remote)

Optum; United States; Remote; USD 33,000 - 59,000; Full time

Benefits offered by this job

Benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

Optum360 is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. Full-time schedule, 8:00am–5:00pm with possible overtime on occasion.

You will ensure accurate ICD-10-CM/PCS coding for inpatient and outpatient services, maintain coding quality, and provide feedback to physicians under supervision. The role requires AHIMA/AAPC credentials, 3+ years inpatient coding, and proficiency in Excel/EMR.

Qualifications

• Currently certified in medical coding with AHIMA or AAPC credentials and annual maintenance.
• 3+ years of inpatient ICD-10-CM/PCS and DRG experience in hospital/facility settings.
• 2+ years with OCE, MUE and NCCI classifications and reimbursement structures.
• Proficient PC skills in Windows, MS Excel, and EMR systems.

Responsibilities

• Identify ICD-10-CM/PCS coding for inpatient services and DRG impact.
• Assign CPT and ICD-10 codes for outpatient surgery, observation, and ancillary services.
• Understand APC codes for Medicare.
• Provide documentation feedback to providers when appropriate.

Skills

ICD-10 coding

DRG understanding

MS Excel

EMR systems

Trauma experience

Education

AHIMA/AAPC certification

Tools

3M Encoder

EPIC

eCAC

Job description

Optum360 is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. Full-time schedule, 8:00am–5:00pm with possible overtime on occasion.

You will ensure accurate ICD-10-CM/PCS coding for inpatient and outpatient services, maintain coding quality, and provide feedback to physicians under supervision. The role requires AHIMA/AAPC credentials, 3+ years inpatient coding, and proficiency in Excel/EMR.