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

UnitedHealth Group; United States; Remote; USD 32,000 - 58,000; 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 an experienced inpatient coder for remote work from anywhere in the United States. The role focuses on accurate ICD-10-CM/PCS coding, DRG assignments, and chart reviews to support facility coding operations.

Qualified candidates will have AHIMA or AAPC credentials, 3+ years in DRG coding, and strong Excel/EMR proficiency. Occasional overtime or weekend work may be required to meet deadlines.

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 inpatient DRG coding experience in an acute care facility.
• 3+ years of ICD-10-CM, ICD-10-PCS, and DRG coding experience using an encoder.
• Proficient in Windows and Microsoft Excel; familiarity with EMR systems.

Responsibilities

• Identify assignment of ICD-10 CM/PCS, DRG, and abstraction for facility services per guidelines.
• Demonstrate expert knowledge in Inpatient DRG Coding.
• Abstract additional data during chart review as needed.
• Maintain coding quality and productivity per Optum standards.
• Query physicians when appropriate.
• Keep current coding knowledge through QM Manager and Director updates.
• Participate in coding department meetings and training.
• Handle additional duties as assigned by management.

Skills

Inpatient DRG coding

ICD-10-CM/PCS

MS Excel

EMR systems

Education

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

High School Diploma or GED

Tools

Microsoft Excel

EMR systems

Job description

Join Optum360Optum 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.Who are we? Optum360. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of Revenue Management services to Healthcare Providers, nationwide.If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.

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 and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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.

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)

Application Deadline

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 the volume of applicants.

Equal Employment Opportunity and Drug-Free Workplace

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.