Senior Inpatient Medical Coder: Remote Acute Edits & Denials

Sustainable World, Inc.; Eden Prairie (MN); Hybrid; USD 33,000 - 59,000; Full time

Job summary

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely, handling CCI, MUE and Medical Necessity Edits, with focus on inpatient acute hospital coding accuracy based on documentation. You will query physicians under supervision and ensure compliant code assignments.

Required are AHIMA/AAPC credentials or equivalent and 2+ years of inpatient coding experience.

Qualifications

• Associate's degree required.
• Coder credentials must be maintained annually (AHIMA and/or AAPC).
• Minimum 2+ years of coding experience, including 2+ years of Acute Care inpatient coding.

Responsibilities

• Work acute inpatient hospital claim edits, denials, 3-day rule combines and other secondary work queues for Allina Health.
• Recodes medical records to satisfy the claims, edits, and denials using coding classifications to ensure data integrity.
• Analyzes medical records to ensure accurate coding, and send provider feedback to improve the quality of documentation to support code assignment and billing.
• Collects and abstracts data elements.
• Assists customers to address complex issues related to unbilled and incomplete records.
• Identifies and suggests areas of improvement in high compliance risk coding areas.
• Combine accounts; identifies codes that require charge build, collaborate with other departments on charging and documentation requirements, participates in special projects involving payer and compliance reviews
• Other duties as assigned.

Education

Associate's degree

Job description

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely, handling CCI, MUE and Medical Necessity Edits, with focus on inpatient acute hospital coding accuracy based on documentation. You will query physicians under supervision and ensure compliant code assignments.

Required are AHIMA/AAPC credentials or equivalent and 2+ years of inpatient coding experience.