Role Description
This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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Identify appropriate assignment of CPT, ICD-10 Codes and Modifiers for various E/M services across multiple services including but not limited to: Emergency Department, Hospitalists, Primary Care, etc.
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Expert knowledge in all ProFee coding specialties; including but not limited to, Evaluation & Management, Critical Care, Trauma while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
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Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits.
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Abstract additional data elements during the chart review process when coding, as needed.
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Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
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Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum.
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Provide documentation feedback to providers, as needed, and query physicians when appropriate.
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Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others.
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Participate in coding department meetings and educational events.
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Review and maintain a record of charts coded, held, and/or missing.
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Additional responsibilities as identified by manager.
Qualifications
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High School Diploma/GED
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Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually.
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3+ years of experience with ICD-10, CPT and HCPCS.
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Ability to use a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and utilize various EMR systems with ease.
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Ability to flex and float to multiple clients as directed.
Requirements
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3+ years of Outpatient Professional (ProFee) E/M coding experience.
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Ability to work at least one weekend, day, holidays, and overtime when there is a business need.
Telecommuting Requirements
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Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
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Ability to keep all company sensitive documents secure (if applicable).
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Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
Benefits
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Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
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Comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
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The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment.