Senior Inpatient Facility Medical Coder

Texas Health Institute; Eden Prairie (MN); Hybrid; USD 67,052,000 - 119,859,000; Full time

Benefits offered by this job

Medical Plan

Dental & Vision Insurance

Life & AD&D Insurance

401(k) Savings

Education Reimbursement

Job summary

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder to deliver ICD-10-CM/PCS coding for hospital inpatient services. This remote role requires strong organization, self-motivation, and familiarity with coding guidelines, with training conducted virtually for four weeks.

Ideal candidates have AHIMA or AAPC credentials and 3+ years of acute care inpatient coding, including DRG assignment and complex procedures. Telecommuting within the U.S.

Qualifications

• High School Diploma/GED required.
• Professional coder certification with AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H).
• 3+ years of Acute Care inpatient medical coding experience.
• 2+ years in Level 2+ trauma center or teaching hospital with complex procedures.
• 2+ years of ICD-10-CM/PCS and DRG coding experience.

Responsibilities

• Identify appropriate ICD-10-CM/PCS codes for inpatient hospital services and DRG impact.
• Abstract additional data elements during chart review when coding.
• Adhere to AHIMA/APAC coding ethics and guidelines.
• Maintain coding quality and productivity per Optum360 standards.
• Provide documentation feedback to providers and query physicians when appropriate.
• Keep up-to-date coding knowledge via QM Manager and Director/QA materials.
• Participate in coding department meetings and trainings.
• Review and maintain charts coded, held, or missing.

Skills

Inpatient coding

Remote work capable

Coding quality & productivity

Education

High School Diploma/GED

AHIMA/AAPC credentialing

Tools

3M Encoder

EPIC

OSHPD reporting

Job description

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS

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.

We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. This is a virtual, remote, position that requires candidates to be highly organized, self-starters, and well-versed in technical applications. Previous success in a remote environment is preferred.

We offer 4 weeks of training. The hours during training will be 8:00 AM - 5:00 PM Monday-Friday. Training will be conducted virtually from your home.

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 and ICD - 10 - PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• 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 Optum360
• Provide documentation feedback to providers 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, etc.
• Participate in coding department meetings and educational events
• Review and maintain a record of charts coded, held, and / or missing

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)
• Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
• 3+ years of Acute Care inpatient medical coding experience (hospital, facility, etc.)
• 2+ years of experience working in a Level 2 (or higher) trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
• 2+ years of ICD - 10 (CM & PCS) and DRG coding experience
• Ability to pass all pre-employment requirements including, but not limited to, drug screening, background check, and coding

Preferred Qualifications:

• 2+ years of outpatient facility coding experience
• Experience working in a Level 1 Trauma center
• Experience with OSHPD reporting
• Experience with various encoder systems (eCAC, 3M, EPIC)
• Ability to use a personal computer in a Windows environment, including Microsoft Excel (create, edit, save, and send spreadsheets) and EMR systems
• Ability to work the weekly schedule (40 hours / week) with the opportunity to choose between Tuesday - Saturday OR Sunday - Thursday including the flexibility to work occasional overtime and 1 weekend day based on business needs

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

PLEASE NOTE The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.

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.

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 volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.