[Hiring] Acute Facility AMBS/OBV Coder @UnitedHealth Group

Role Description

Coder III is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis, and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies.

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

Primary Responsibilities:

• Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Same Day Surgery, IVR, CIVR (specialty), and Observation admissions following official coding guidelines.
• Can also code ancillary and/or emergency department charts if needed.
• Review provider documentation to determine reason for visit, first listed and secondary diagnosis, and surgical procedures.
• Provide documentation feedback to providers, as needed, and queries physicians when appropriate.
• Utilize technical coding principles and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS as appropriate, and CPT-4 for procedures.
• Ensure accurate coding by clarifying diagnosis and procedural information through established query process if necessary.
• Extract required information from source documentation and enter into encoder and abstracting system.
• Review documentation to verify and when necessary, correct the patient disposition upon discharge.
• Prioritize work to ensure timeframe of medical record coding meets KPI’s.
• Serve as a resource for coding related questions as appropriate.
• Meet performance and quality standards at Coder II level.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Assists with OSHPD correction.
• Participate in department meetings and educational events.
• Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc.

Qualifications

• High School Diploma.
• Completion of an AHIMA or AAPC accredited coding certification program that includes courses critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Anatomy / Physiology, Medical Terminology, and ICD-10 and CPT coding courses.
• Maintain current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H).
• 2+ years Same Day Surgery, Wound Care, IVR, CVIR (specialty), Observation coding experience.
• 2+ years of ICD-10 coding experience.
• Ability to use a PC in a Windows environment, including MS Word and EMR systems.
• Ability to pass all pre-employment requirements including, but not limited to: drug screening, background check, and coding technical assessment.

Requirements

• Experience with various Encoder systems (i.e., OptumCAC, Cerner).
• Intermediate level of Microsoft Excel.
• Experience with coding and charge validation.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).

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.