Senior Inpatient DRG Medical Coder | Saint Paul, Minnesota | Remote

UMR; United States; Remoto; USD 33.000 - 59.000; Tempo pieno

Descrizione del lavoro

Optum is seeking a skilled inpatient coder to assign ICD-10-CM/PCS and DRG for facility services, ensuring adherence to official coding guidelines and client-specific rules. The role emphasizes accuracy, ethics, and ongoing learning within a collaborative coding team.

The position is full-time with 40 hours/week. Remote work is possible from anywhere in the U.S. Proficiency in Excel and EMR systems is required, with weekend/overtime as needed.

Competenze

• Active AHIMA or AAPC coding credential with annual maintenance.
• 3+ years of inpatient DRG coding in an acute care setting.
• 3+ years of ICD-10-CM/ICD-10-PCS and DRG coding using an encoder.

Mansioni

• Identify assignment of ICD-10 CM, ICD-10-PCS, DRG for facility services per guidelines.
• Expert knowledge in Inpatient DRG Coding.
• Abstract additional data elements during chart review as needed.
• Adhere to coding ethics and guidelines (AAPC/AHIMA).
• Maintain performance in coding quality and productivity as established by leadership.
• Stay up-to-date with QM materials and departmental communications.
• Participate in coding department meetings and educational events.

Conoscenze

DRG coding

AHIMA/AAPC credentialing

Formazione

High School Diploma or GED

Strumenti

Excel

EMR systems

Descrizione del lavoro

Job TitleOptum 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.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 OptumQuery 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
• 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*

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 $24 - $43 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.