Experienced Full Stack Certified Medical Outpatient Edits Coder – Remote Nationwide Opportunity with UnitedHealth Group

Join the UnitedHealth Group Team as a Certified Medical Outpatient Edits Coder and Make a Difference in Healthcare

UnitedHealth Group, a leading global organization in healthcare, is seeking an experienced Certified Medical Outpatient Edits Coder to join our team remotely. As a Certified Medical Outpatient Edits Coder, you will play a crucial role in ensuring accurate medical coding for outpatient services, which directly impacts the health and wellness of our members. This is a unique opportunity to work with a diverse and talented team, enjoy a flexible work environment, and take advantage of comprehensive benefits and career growth opportunities.

About UnitedHealth Group

UnitedHealth Group is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life, and we are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.

Job Summary

As a Certified Medical Outpatient Edits Coder, you will work remotely to accurately determine CPT and ICD-10 Codes for various outpatient services, including same-day surgeries, major trauma ER encounters, observations, and complex surgery cases. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Your expertise in coding policies and procedures, medical terminology, and technology will enable you to provide documentation feedback to physicians and contribute to the improvement of health outcomes.

Key Responsibilities:

• Accurate Medical Coding: Determine and record the correct medical codes for all treatments and health services, adhering to official coding guidelines and established client coding guidelines.
• Coding Analysis and Correction: Apply coding knowledge to analyze and correct CCI Edits and Medical Necessity accounts.
• Documentation Feedback: Provide documentation feedback to physicians, as needed, and query physicians when appropriate.
• Coding Knowledge Maintenance: Stay up-to-date with coding policies and procedures, medical terminology, and technology by reviewing materials disseminated by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management.
• Performance and Productivity: Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360.
• Additional Responsibilities: Participate in coding department meetings and educational events, review and maintain a record of charts coded, held, and/or missing, and perform additional responsibilities as identified by the manager.

Requirements and Qualifications

Essential Qualifications:

• Education: High School Diploma/GED (or higher).
• Certification: Professional coder certification with credentialing from AHIMA and/or AAPC (ROCC, CPC, COC, CPC-P, CCS) to be maintained annually.
• Experience: 2+ years of Outpatient Facility coding experience.
• Technical Skills: Ability to use a PC in a Windows environment, including Microsoft Excel and EMR systems.
• Flexibility: Ability to work flexible hours; Monday-Friday - 40 hours/week, including the flexibility to work occasional overtime per business need.

Preferred Qualifications:

• Experience with Complex Cardiac Catheterizations and Interventional Radiology: Experience with complex cardiac catheterizations and interventional radiology (CVIR/IVR).
• Encoder Systems: Experience with various encoder systems (eCAC, 3M, EPIC).
• Microsoft Excel: Intermediate level of experience with Microsoft Excel.
• OSHPD Reporting: Experience with OSHPD reporting.

What We Offer

Competitive Compensation and Benefits:

• Competitive Base Pay: A competitive salary range of $18.80 to $36.78 per hour, depending on experience and qualifications.
• Comprehensive Benefits: A full and comprehensive benefit program, including paid time off, medical, dental, vision, life, and disability insurance, 401(k) savings plan, and employee stock purchase plan.
• Education Reimbursement: Education reimbursement program.
• Employee Discounts: Employee discounts.
• Employee Assistance Program: Employee assistance program.

Career Growth Opportunities:

• Professional Development: Opportunities for professional growth and development.
• Career Advancement: Opportunities for career advancement within the company.
• Diverse and Engaged Teams: Work with diverse, engaged, and high-performing teams.

Why Join UnitedHealth Group?

At UnitedHealth Group, we are committed to creating a healthier world, one insight, one connection, and one person at a time. We believe in promoting health equity and accessibility, and we strive to make healthcare simpler and more effective for everyone. By joining our team, you will have the opportunity to make a positive impact on the lives of our members and contribute to the improvement of health outcomes.

How to Apply

If you are a motivated and experienced medical coder looking for a challenging and rewarding role, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look forward to hearing from you!

Sign-on Bonus: $3000 sign-on bonus for external applicants.

Telecommuter Policy: All telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Equal Employment Opportunity: 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.