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Job Details


UnitedHealth Group

Fee for Service Medical Coder - Telecommute

Healthcare

Medical Director

No

Phoenix, Arizona, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Senior Coder reports to the Manager, Coding & Auditing and demonstrates proficiency in all aspects of coding. The Senior Coder demonstrates experience by correlating coding accuracy with correct code assignments. This role qualifies for remote status.

Reports to: Manager of Coding per CDO

Accountabilities:

  • Integrity Value: Act Ethically
    • Comply with Applicable Laws, Regulations and Policies
    • Demonstrate Integrity
  • Compassion Value: Focus on Customers
    • Identify and Exceed Customer Expectations
    • Improve the Customer Experience
  • Relationships Value: Act as a Team Player
    • Collaborate with Others
    • Demonstrate Diversity Awareness
    • Learn and Develop
  • Relationships Value: Communicate Effectively
    • Influence Others
    • Listen Actively
    • Speak and Write Clearly
  • Innovation Value: Support Change and Innovation
    • Contribute Innovative Ideas
    • Work Effectively in a Changing Environment
  • Performance Value: Make Fact-Based Decisions
    • Apply Business Knowledge
    • Use Sound Judgement
  • Performance Value: Deliver Quality Results
    • Drive for Results
    • Manage Time Effectively
    • Produce High-Quality Work

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

Primary Responsibilities:

  • Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes
  • Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines
  • 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
  • Read and interpret medical coding rules and guidelines to make decisions (e.g., exclusions, sequencing, inclusions)
  • Apply post-query response to make final determinations
  • Make determinations on medical charting and take initiative to complete reviews independently to avoid delays in the process
  • 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
  • Perform medical coding audits to evaluate medical coding quality
  • Review medical coding audit results
  • Follow steps per agreement with medical coding audit results to resolve discrepancies
  • Provide resources and information to substantiate medical coding audit findings
  • Educate and mentor others to improve medical coding quality
  • Apply understanding of National Correct Coding Edits to the coding process
  • Demonstrate understanding of National and Local coverage determinations
  • Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
  • Follow relevant professional code of ethics consistent with required certifications
  • Attain and/or maintain relevant professional certifications and continuing education seminars as required
  • Leverage relevant computer software programs (e.g., Microsoft Office) to record information, analyze data, or communicate with others
  • Utilize and navigate across clinical software applications to assign medical codes or complete reviews


You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School diploma, GED or equivalent
  • Coding certification (CPC) or other appropriate certification through AAPC or AHIMA
  • 3+ years of coding experience in an outpatient environment
  • Excellent understanding of ICD-10-CM coding classification and guidelines
  • Excellent understanding of CPT, HCPCS, and modifier coding and guidelines
  • Excellent understanding of medical terminology, disease process and anatomy and physiology

Preferred Qualifications:

  • Supervisory experience
  • Revenue Cycle experience

CLL- Practices for Success -Individual

  • Resilience & Resourcefulness
  • Achievement Drive
  • Serving Customers
  • Collaborating
  • Building Relationships
  • Communicating with Others
  • Persevering
  • Self-Management
  • Applying Life-Long Skill Building Effort
  • Building and Applying Technical and Functional Skills
  • Providing Support
  • Managing Conflict
  • Using Performance Measures
  • Supporting Innovation and Creativity
  • Growth Mindset
  • Managing Ambiguity and Uncertainty
  • Being Coachable
  • Taking Initiative and Risks
  • Using Time and Resources Efficiently
  • Delivering Results
  • Adding Value
  • Solving Problems
  • Understanding Goals, Priorities and Plans
  • Influencing Others
  • Using Humor
  • Understanding the Enterprise


To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $21.68 to $38.56. The hourly range for Connecticut / Nevada residents is $23.94 to $42.40. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

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