[Hiring] Senior Medical Coder @UnitedHealth Group

Role Description

The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity.

Schedule: Monday to Friday, 8am – 5pm

Location: Remote Nationwide

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

Primary Responsibilities:

• Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes.
• Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes.
• Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information.
• Follow up with providers as necessary when responses to queries are not provided in a timely basis.
• Utilize medical coding software programs or reference materials to identify appropriate codes.
• Apply post-query response to make final determinations.
• Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters).
• Resolve medical coding edits or denials in relation to code assignment.
• Provide information or respond to questions from medical coding quality audits.
• Educate and mentor others to improve medical coding quality.
• Demonstrate basic knowledge of the impact of coding decisions on revenue cycle.
• Other duties as assigned.

Qualifications

• High School Diploma/GED
• Coding certification from AAPC or AHIMA Professional Coding Association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.)
• 3+ years of Pro-Fee (fee for service) coding experience including with multiple specialties.
• Advanced level of proficiency/knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines.
• Advanced level of proficiency/knowledge of medical terminology, disease process and anatomy and physiology.

Requirements

• Epic experience.
• 1+ years of revenue cycle experience.
• *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401k contribution (all benefits are subject to eligibility requirements).
• Hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment.