[Hiring] SDS Observations Medical Coder @UnitedHealth Group

Role Description

The SDS/Observations Medical Coder position is full-time (40 hours/week) Monday to Friday. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

• Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
• Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits.
• Understand the Medicare Ambulatory Payment Classification (APC) codes.
• Abstract additional data elements during the chart review process when coding, as needed.
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360.
• Provide documentation feedback to providers, as needed and query physicians when appropriate.
• 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.
• Participate in coding department meetings and educational events.
• Review and maintain a record of charts coded, held and/or missing.
• Additional responsibilities as identified by manager.

Qualifications

• High School Diploma/GED.
• Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H).
• 2+ years of outpatient facility coding experience.
• 2+ years of experience working with Same Day Surgery Coding.
• 2+ years of ICD-10 experience.
• Intermediate level of proficiency with Windows environment including MS Excel and EMR systems.

Requirements

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

Benefits

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