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Certified Senior Coder – Remote In Or

2+ years
Not Disclosed
10 Oct. 25, 2024
Job Description
Job Type: Full Time Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Company Overview

Optum is a global organization committed to improving health outcomes through technology and care. By connecting individuals with the necessary resources—care, pharmacy benefits, data—we help millions live healthier lives. Our culture is rooted in diversity and inclusion, and we offer talented peers, comprehensive benefits, and career development opportunities. Join us to make a meaningful impact as we advance health equity globally.

Position Overview

As a Certified Senior Coder, you will review provider service records to ensure accurate coding for all services, maximizing reimbursement and meeting coding requirements from insurance carriers and regulatory agencies (Medicare and Medicaid). You will also serve as a resource for providers regarding coding issues.

Location: Fully remote after 2-3 weeks of onsite training in Corvallis, OR.

Schedule: Monday-Friday, 8 AM - 4:30 PM

Key Responsibilities

  • Uphold a culture consistent with the Service and Behavioral Standards.
  • Accurately code services using CPT, ICD-10, and modifiers, adhering to bundling edits.
  • Ensure documentation supports charges billed, including E/M auditing and procedures.
  • Process and input billings accurately in the practice management system, including CPT codes, modifiers, units, and ICD-10 codes.
  • Provide feedback and resolve coding questions from providers, insurance specialists, and patient account representatives.
  • Understand and apply Medicare billing rules and guidelines effectively.
  • Improve quality of care through continuing education and participation in department meetings.
  • Assist in the orientation and training of new employees.

Required Qualifications

  • High School Diploma/GED or higher.
  • Certification from an advanced coding course.
  • 2+ years of coding experience or experience with medical billing and terminology.

Preferred Qualifications

  • Extensive knowledge of insurance setup.
  • Intermediate to advanced computer skills, including MS Word and Excel.
  • Strong ability to collaborate with providers and staff.
  • Capacity to manage multiple tasks in a fast-paced environment.
  • Proficiency in navigating various websites in a remote setting.

All telecommuters are required to adhere to UnitedHealth Group’s Telecommuter Policy.

Our Mission

At UnitedHealth Group, we aim to help people live healthier lives and enhance the health system for everyone. We believe in equitable access to healthcare, addressing barriers that disproportionately affect marginalized groups.

Diversity and Inclusion

UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer. We encourage all qualified applicants to apply, regardless of race, color, religion, sex, age, national origin, disability status, sexual orientation, gender identity, or any other characteristic protected by law.

Drug-Free Workplace

UnitedHealth Group maintains a drug-free workplace. Candidates are required to pass a drug test before employment.