Senior Outpatient Medical Coder (CCI-Edits)
Onsite
Phoenix, AZ, United States
Phoenix, AZ, United States
Posted 21 days ago
Job Details
$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work.SM As a Senior Outpatient Medical Coder, you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel. Delivering quality care starts 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 member-centric approach to care. As a Senior Outpatient Medical Coder, you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way your work will impact the health and wellness of our members on a huge scale. Schedule: This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules Monday- Friday. It may be necessary, given the business need, to work occasional overtime and/or weekends. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:
- Identify appropriate assignment of CPT and ICD-10 Codes for outpatient surgery, observation, emergency, and ancillary services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
- 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 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, etc
- 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
- High School Diploma/GED (or higher)
- Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be maintained annually
- ICD-10 and DRG coding experience
- Experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding
- Knowledge of OCE, MUE and NCCI classification and reimbursement structures
- Ability to use a PC in a Windows environment, including EMR systems
- Ability to work any of our 8-hour shift schedules between Monday - Friday, with the flexibility to work occasional overtime given the business need
- 3+ years of Inpatient medical coding experience (hospital, facility, etc.)
- Experience with OSHPD reporting
- Experience with various encoder systems (eCAC,3M, EPIC)
- Intermediate level of proficiency with Microsoft Excel (ability to create, edit, save, and send spreadsheets)
- 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
Learn more about UnitedHealth Group
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