Medical Coder

About the role

As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to make every contact informative, productive and positive for our members and providers. You'll have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases. The Medical Coder delivers quality care starting with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a payer-centric approach to care. As a medical coder you will suggest and review claim information and procedure codes for all specialties and health services.

Schedule

A 40-hour work week, Monday through Friday, between the hours of 9 am to 5:00pm. The schedule will be determined by the supervisor upon hire.

Location

You'll enjoy the flexibility to telecommute from anywhere within the U.S.

Primary Responsibilities

• Analyzes and codes claim information in a timely and accurate manner
• Responsible for written explanations ensuring quality data and timely review
• Completes assigned work ensuring department benchmarks are met or exceeded consistently in accordance with current industry standards and use of current technologies
• Maintains professional skills and remains engaged in the goals and vision of the organization to ensure the department functions efficiently and accurately with integrity
• Manage and prioritize DME claims, ensuring timely adjudication, accurate documentation, and adherence to established policies and procedures
• Performs other duties as assigned

Benefits

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
• Medical Plan options along with participation in a Health Spending Account or a Health Saving account
• Dental, Vision, Life & AD&D Insurance along with Short-term disability and Long-Term Disability coverage
• 401(k) Savings Plan, Employee Stock Purchase Plan
• Education Reimbursement
• Employee Discounts
• Employee Assistance Program
• Employee Referral Bonus Program
• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

Required Qualifications

• Highschool Diploma
• Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Will consider CPC -A. OR Certified Coding Specialist (CCS), Physician-based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC) is required
• 6 months of experience with professional fee billing and coding reimbursement and third party payers regulations
• 6 months of knowledge in medical terminology
• Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications

• The ability to work with individuals at all organizational levels, particularly peers, team members, other departments, patients, and the community is required
• 6 months of knowledge of durable medical equipment coding
• Intermediate computer proficiency of MS Office (MS Word, Excel, Outlook and Power Point)

Soft Skills

• Ability to work independently and as a team, and maintain good judgment and accountability
• Demonstrated ability to work well with health care providers
• Strong organizational and time management skills
• Ability to multi-task and prioritize tasks to meet all deadlines
• Ability to work well under pressure in a fast-paced environment
• Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

Pay

The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment.