Senior Medical Coder - CPT/ICD-10 Edits (Remote)

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

Job summary

Optum is seeking a Senior Ambulatory Medical Coder Edits to work remotely, with primary responsibility for CPT and ICD-10 edits across professional coding services. You will ensure accuracy per coding policies using medical records and provide documentation feedback to physicians under supervision.

The role is full-time (40 hours/week), with 8-hour shifts and telecommuting from anywhere in the U.S. Knowledge of LCD/NCD, Medical Necessity, and payer denials is required.

Qualifications

• High School Diploma/GED.
• AHIMA/AAPC professional coder certification.
• 2+ years of Professional/Ambulatory coding experience.
• 1+ years of LCD/NCD/Medical Necessity/Modifier Edits/NCCI knowledge.
• 1+ years of experience coding payer denials.
• Expert level CPT and ICD-10-CM coding.
• Proficient with Windows, MS Excel and EMR systems.

Responsibilities

• Identify appropriate CPT and ICD-10 Edits for Professional Services per guidelines.
• Apply coding knowledge to analyze/correct Edits and Medical Necessity accounts.
• Adhere to ethical coding standards per AAPC/AHIMA.
• Maintain performance in coding quality and productivity.
• Provide documentation feedback to providers and query physicians as needed.
• Keep up-to-date coding knowledge per QM Manager/Director guidance.
• Participate in coding department meetings and trainings.
• Perform additional tasks as assigned by management.

Skills

CPT coding

ICD-10-CM coding

AHIMA/AAPC certification

MS Excel

EMR systems

Windows PC skills

Education

High School Diploma/GED

AHIMA/AAPC credentialing (CCA/CCS etc.)

Tools

EPIC

Job description

Optum is seeking a Senior Ambulatory Medical Coder Edits to work remotely, with primary responsibility for CPT and ICD-10 edits across professional coding services. You will ensure accuracy per coding policies using medical records and provide documentation feedback to physicians under supervision.

The role is full-time (40 hours/week), with 8-hour shifts and telecommuting from anywhere in the U.S. Knowledge of LCD/NCD, Medical Necessity, and payer denials is required.