SDS Observations Medical Coder

$3,000 sign-on bonus for external applicants.

About the role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.

Responsibilities

• Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Abstract additional data elements during the chart review process when coding, as needed
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
• Provide documentation feedback to providers, as needed and query physicians when appropriate
• Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers and Director of Coding/Quality Management, among others
• Participate in coding department meetings and educational events
• Review and maintain a record of charts coded, held and/or missing
• Additional responsibilities as identified by manager

Requirements

• High School Diploma/GED
• Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)
• 2+ years of outpatient facility coding experience
• 2+ years of experience working with Same Day Surgery Coding
• 2+ years of ICD-10 experience
• Intermediate level of proficiency with Windows environment including MS Excel and EMR systems

Telecommuting Requirements

• Access to 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)
• Reside 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

Schedule

Full-time (40 hours/week) Monday to Friday. You'll enjoy the flexibility to telecommute* from anywhere within the U.S.

Pay

The hourly pay for this role will range from $20 - $36 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, and certifications.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)