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Coder I - Remote Nationwide

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Optum

Sep 18

Applications are closed

  • Job
    Full-time
    Junior Level
  • Accounting & Tax
    Healthcare
  • Gardena
    Remote

Requirements

  • Required Qualifications
  • High School Diploma/GED (or higher)
  • Active AAPC CPC (Certified Professional Coder-Apprentice) Certification or AHIMA CCS (Certified Coding Specialist) Certification
  • 2+ years of experience in the healthcare industry, medical coding, and Risk Adjustment
  • Intermediate level of proficiency with verbal and written communication skills, including ability to effectively communicate with internal teams
  • Intermediate level of proficiency reading and interpreting medical coding rules and guidelines to make decisions (e.g., exclusions, sequencing, inclusions)
  • Intermediate level of proficiency utilizing resources and reference materials (e.g., on-line sources, manuals, etc.) to identify appropriate medical codes and reference code applicability, rules, and guidelines
  • Intermediate level of computer proficiency (MS Office-Word, Excel, Outlook)
  • Preferred Qualifications
  • AAPC CRC (Certified Risk Adjustment Coder) Certification
  • Knowledge of industry standards and practices
  • Soft Skills
  • Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
  • Ability to work independently and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
  • High level of ethics, integrity, discretion, and confidentiality
  • Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, visits, encounters)
  • Physical Requirements
  • Must be able to sit for long periods
  • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting productivity standards.
  • Must be able to lift and carry up to 50 lbs.
  • Must be able to talk, listen, speak and view regularly.
  • <2 % of domestic travel to customer sites/plants, etc.
  • Training Requirements
  • Attending regular chapter meetings and/or virtual CEU training to ensure up to date coding certifications
  • Company compliance program modules
  • Company safety regulations
  • Telecommuting Requirements
  • Required to have 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)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

  • Primary Responsibilities
  • Review and analyze medical records, physician notes and other healthcare documents
  • Assign appropriate ICD-10-CM codes to accurately reflect the patient's diagnosis and treatment
  • Ensure compliance with official coding guidelines and healthcare regulations
  • Maintain a minimum coding accuracy score of 95%
  • Participate in internal and external audits to ensure compliance with coding standards and identify areas for improvement
  • Implement corrective actions to address any identified issues
  • Methodical and detail-oriented
  • Strong ability to read and decipher coding guidelines
  • Requires strong ability to work independently with minimum supervision, excellent reliability, positive attitude, and demonstrated ability to work timely and effectively under strict deadlines
  • Requires an individual to maintain the ability to work in an environment with PHI / PII data
  • Will be required to maintain an ongoing productivity level based on project requirements
  • May be assigned other duties
  • Must maintain compliance with all company policies and procedures

FAQs

Do we support remote work?

Yes, this position allows for full remote work from anywhere within the U.S.

What are the primary responsibilities of the Coder I position?

The primary responsibilities include reviewing and analyzing medical records, assigning appropriate ICD-10-CM codes, ensuring compliance with coding guidelines, maintaining coding accuracy, and participating in audits.

What are the required qualifications for this role?

The required qualifications include a High School Diploma or GED, an active AAPC CPC (Certified Professional Coder-Apprentice) or AHIMA CCS (Certified Coding Specialist) certification, and 2+ years of experience in medical coding and the healthcare industry.

Is there a minimum coding accuracy score that must be maintained?

Yes, a minimum coding accuracy score of 95% must be maintained.

Are there specific software skills required for this job?

Yes, intermediate proficiency in MS Office applications such as Word, Excel, and Outlook is required.

What type of benefits are offered with this position?

Benefits include paid time off, medical plan options, dental and vision insurance, a 401(k) savings plan, education reimbursement, and more.

What are the preferred qualifications for candidates?

Preferred qualifications include AAPC CRC (Certified Risk Adjustment Coder) certification and knowledge of industry standards and practices.

Are there physical requirements for this position?

Yes, candidates must be able to sit for long periods, lift and carry up to 50 lbs, and perform essential job functions consistent with various workplace standards.

Are there specific training requirements for this role?

Yes, training requirements include attending regular chapter meetings, virtual CEU training, and compliance program modules.

How is the pay determined for this position?

The hourly pay range for residents in certain states is $16.54 to $32.55, based on local labor markets, education, work experience, certifications, and other factors.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Optum is a health services and technology company that provides a wide range of solutions to improve healthcare delivery and outcomes. They offer services in healthcare management, data analytics, pharmacy benefit management, and technology solutions to healthcare providers, payers, employers, and government agencies. Optum's ultimate mission is to improve the health system's efficiency and effectiveness, creating a healthier world for everyone. Their purpose lies in collaborating with healthcare partners to address complex challenges, such as improving care coordination, reducing healthcare costs, and enhancing patient experiences. By leveraging data-driven insights and innovative technology, Optum aims to empower healthcare professionals and organisations to deliver high-quality, patient-centered care and drive positive healthcare outcomes for individuals and communities worldwide.

Culture & Values

  • Integrity

    Honour commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future, learn from the past.

  • Performance

    Demonstrate excellence in everything we do.

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