Senior Medical Coder 2379427 | Eden Prairie, Minnesota | Remote

UMR; Eden Prairie (MN); Remote; USD 33,000 - 59,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase

401k contribution

Job summary

Senior Medical Coder with UnitedHealth Group is a remote nationwide role focusing on accurate CPT and E/M coding for maximum reimbursement and minimal denials. You will support charge review, claim edits, and denials while maintaining revenue cycle integrity.

The position requires a CPC/CPC-H or RHIT/RHIA/CCS/ CCS-P certification, 3+ years of Pro-Fee coding experience, and strong CPT/ICD-10-CM knowledge. Schedule: Mon–Fri, 8am–5pm.

Qualifications

• High School Diploma or GED required.
• AAPC or AHIMA coding certification (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P, etc.).
• 3+ years of Pro-Fee coding experience including multiple specialties.
• Advanced CPT/ICD-10-CM/HCPCS knowledge and coding guidelines.

Responsibilities

• Apply medical coding knowledge to assign appropriate CPT and E/M codes.
• Interpret clinical documentation using anatomy and physiology knowledge.
• Generate queries when documentation is unclear.
• Query providers and follow up for timely responses.
• Identify and resolve coding edits and denials to support revenue integrity.

Skills

ICD-10-CM knowledge

CPT knowledge

Medical terminology

Anatomy & physiology

Education

High School Diploma/GED

AAPC/AHIMA coding certification

Tools

Epic

Job description

Senior Medical Coder

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity.

Schedule: Monday to Friday, 8am - 5pm

Location: Remote Nationwide

You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
• Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
• Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
• Follow up with providers as necessary when responses to queries are not provided in a timely basis
• Utilize medical coding software programs or reference materials to identify appropriate codes
• Apply post-query response to make final determinations
• Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
• Resolve medical coding edits or denials in relation to code assignment
• Provide information or respond to questions from medical coding quality audits
• Educate and mentor others to improve medical coding quality
• Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
• Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
• Coding certification from AAPC or AHIMA Professional Coding Association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.)
• 3+ years of Pro-Fee (fee for service) coding experience including with multiple specialties
• Advanced level of proficiency/knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
• Advanced level of proficiency/knowledge of medical terminology, disease process and anatomy and physiology

Preferred Qualifications:

• Epic experience
• 1+ years of revenue cycle experience

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). The hourly pay for this role will range from $24.00 to $43.00 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.