Senior Inpatient Medical Coder — Remote Denials & Acute Edits

UnitedHealth Group; Eden Prairie (MN); On-site; Confidential; Full time

Job summary

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. to correct MC, CC, MUE edits and medical necessity edits, ensuring inpatient coding accuracy per policy and documentation.

Responsibilities include reviewing documentation, querying physicians, and improving coding quality; requires MS-DRG/APR-DRG experience, and AHIMA/AAPC credentials, with 2+ years in acute care coding. Telecommuter policy applies.

Qualifications

• Associate's degree is required.
• Coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CIC) required at hire and maintained annually.
• 2+ years of Coding experience.
• 2+ years of Acute Care inpatient medical coding experience (hospital, facility, etc.)

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 and proper assignments.
• 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

AHIMA/AAPC credentialing (RHIA/RHIT/CCS/CIC)

Job description

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. to correct MC, CC, MUE edits and medical necessity edits, ensuring inpatient coding accuracy per policy and documentation.

Responsibilities include reviewing documentation, querying physicians, and improving coding quality; requires MS-DRG/APR-DRG experience, and AHIMA/AAPC credentials, with 2+ years in acute care coding. Telecommuter policy applies.