Senior Inpatient DRG Medical Coder 2309328 | Eden Prairie, Minnesota | Remote

United Health Group; Eden Prairie (MN); Remote; USD 32.000 - 58.000; Vollzeit

Zusammenfassung

Optum, part of UnitedHealth Group, is seeking a Medical Coding Specialist for a full-time remote role in the United States. The position emphasizes ICD-10-CM/ICD-10-PCS, inpatient DRG coding, and adherence to coding guidelines within a fast-evolving healthcare landscape.

You will maintain up-to-date coding knowledge, pursue AHIMA/AAPC credentials, and contribute to high-quality, productive coding while following client guidelines. Telecommuting from anywhere in the U.S. is supported.

Qualifikationen

• High School Diploma or GED (or higher) required.
• Professional coder certification with AHIMA and/or AAPC to be maintained annually.
• 3+ years inpatient DRG coding in an acute care facility.
• 3+ years of ICD-10-CM, ICD-10-PCS, and DRG coding using an encoder.

Aufgaben

• Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services according to guidelines.
• Expert knowledge in Inpatient DRG Coding.
• Abstract additional data elements during chart review when coding, as needed.
• Adhere to ethical standards of coding per AAPC/AHIMA.
• Maintain required performance levels in coding quality and productivity.
• Query physicians when appropriate.
• Keep up-to-date coding knowledge via QM Manager/Director guidance.
• Participate in coding department meetings and educational events.
• Handle additional responsibilities as identified by manager.

Kenntnisse

ICD-10-CM/ICD-10-PCS coding

Inpatient DRG coding

Excel

Ausbildung

High School Diploma/GED

AHIMA/AAPC certification (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC)

Tools

EMR systems

Windows PC

Jobbeschreibung

Medical Coding Position

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities.

This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional 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 ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Expert knowledge in Inpatient DRG Coding
• 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 Optum
• 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

Required Qualifications:

• High School Diploma/GED (or higher)
• Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually
• 3+ years of experience with inpatient DRG coding in an acute care facility setting
• 3+ years of experience with ICD-10-CM, ICD-10-PCS, and DRG coding utilizing an encoder
• Intermediate level of proficiency working with a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and various EMR systems with ease

Preferred Qualifications:

• Ability to work at least one weekend, day, holidays, and overtime when there is a business need

Telecommuting Requirements:

• Required to have 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)
• Must live in a location where there is 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.

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 $23.41 to $41.83 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.

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.