Full-Time Coder I

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. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

An Episource MRA Coder I, your primary focus will be on coding medical services in adherence to established coding guidelines and regulations. This role requires attention to detail, knowledge of medical terminology, and a commitment to maintaining confidentiality and compliance with healthcare standards.

Hours: This position is full-time (40 hours/week) Monday – Friday – 8 hours per day.

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

Primary Responsibilities:

• Review and analyze medical records, physician notes and other healthcare documents
• Assign appropriate ICD-10-CM codes to accurately reflect the patient's diagnosis and treatment
• Ensure compliance with official coding guidelines and healthcare regulations
• Maintain a minimum coding accuracy score of 95%
• Participate in internal and external audits to ensure compliance with coding standards and identify areas for improvement
• Implement corrective actions to address any identified issues
• Methodical and detail-oriented
• Strong ability to read and decipher coding guidelines
• Requires strong ability to work independently with minimum supervision, excellent reliability, positive attitude, and demonstrated ability to work timely and effectively under strict deadlines
• Requires an individual to maintain the ability to work in an environment with PHI / PII data
• Will be required to maintain an ongoing productivity level based on project requirements
• May be assigned other duties
• Must maintain compliance with all company policies and procedures

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• 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.)
• More information can be downloaded at: http://uhg.hr/uhgbenefits

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 higher)
• Active AAPC CPC (Certified Professional Coder-Apprentice) Certification or AHIMA CCS (Certified Coding Specialist) Certification
• 2+ years of experience in the healthcare industry, medical coding, and Risk Adjustment
• Intermediate level of proficiency with verbal and written communication skills, including ability to effectively communicate with internal teams
• Intermediate level of proficiency reading and interpreting medical coding rules and guidelines to make decisions (e.g., exclusions, sequencing, inclusions)
• Intermediate level of proficiency utilizing resources and reference materials (e.g., on-line sources, manuals, etc.) to identify appropriate medical codes and reference code applicability, rules, and guidelines
• Intermediate level of computer proficiency (MS Office-Word, Excel, Outlook)

Preferred Qualifications:

• AAPC CRC (Certified Risk Adjustment Coder) Certification
• Knowledge of industry standards and practices

Soft Skills:

• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service