[Hiring] Evaluation and Management Medical Coder/Auditor @UnitedHealth Group

Role Description

As an Evaluation & Management Medical Coder, you will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The ideal candidate will possess prior experience of any kind talking to physicians, non-physician providers, and/or their staff. Have excellent research skills and be persistent when calling provider offices.

This position is full-time. Employees are required to work our normal business hours of 8:00 AM - 4:00 PM CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of paid training. The hours of the training will be based on your schedule during normal business hours or will be discussed on your first day of employment. Training will be conducted virtually from your home.

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

Primary Responsibilities:

• Responsible for educational outreach via phone and email to providers. Educational outreach involves effectively communicating coding and documentation guidelines, both verbal and written, to provider(s), provider office staff, and/or designated biller(s).
• 80-90%: Provider educational outreach via phone/email to communicate the program and coding and documentation guidelines. Be ready to discuss with individuals or groups with minimal notice.
• 10-20%: Audit outpatient claims to validate reported services, appropriate use of procedure codes, modifiers, identify potential unbundled services, confirm place of service, and number of units per claim line item. Provide written feedback using best practice industry standards and/or health plan guidelines.

Qualifications

• High School Diploma/GED
• Professional coder certification (CPC, COC, CPC-P, CCS) with credentialing from AHIMA and/or AAPC to be maintained annually
• Medical coding or auditing experience in the past year
• 2+ years of experience with E&M (Evaluation & Management) medical coding
• 2+ years of experience interacting with physicians in a medical setting (medical coding, medical billing, OR claims processing)
• 2+ years of high-volume telephonic experience
• 2+ years of experience in working with EMR (Electronic Medical Record)
• Intermediate level of proficiency with Microsoft Word, Microsoft Excel, and Microsoft Outlook
• Ability to work any shift between the hours of 8:00 AM - 4:00 PM CST including the flexibility to work occasional overtime based on business need

Preferred Qualifications

• 2+ years of Outpatient Facility coding experience
• Experience with various encoder systems (eCAC, 3M, EPIC)

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)