Certified Professional Medical Coder

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.

The Certified Professional Medical Coder position is full-time (40 hours/week) Monday to Friday. Employees will enjoy a flexible schedule during normal business hours with occasional weekends if needed.

You ll enjoy the flexibility of a hybrid position from anywhere within Chappaqua, NY as you take on some tough challenges.

Primary Responsibilities:

• Performs coding services while meeting daily production and quality goals
• Performs audit activities including review of medical chart coding and billing documentation
• Partners with providers and staff to improve quality and efficiencies in coding and documentation of provider claims which involves educating and coaching on compliant coding practices
• Maintains excellent documentation of all reviews, methodologies employed, results and corrective actions implemented and monitored
• Appropriately uses coding principles to code to the highest specificity while complying with CMS regulations and company goals and policies
• Reviews CMS and insurance bulletins, newsletters and periodicals to maintain policies and stay abreast of current coding issues, trends and changes
• Understands and adheres to The Health Insurance Portability and Accountability Act (HIPPA) and CMS Coding requirements
• Facilitates and supports a culture of compliance, ethics and integrity
• Maintains professional certifications
• Performs other duties and responsibilities as required

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)
• Professional coder certification with credentialing from AHIMA and/or AAPC (ROCC, CPC, COC, CPC-P, CCS) to be maintained annually
• 1+ year of experience with ICD-10, CPT and HCPCS
• 1+ year of experience with healthcare compliance
• 1+ year of experience with Medicare/Medicaid billing regulations and documentation guidelines

Preferred Qualifications:

• 3+ years experience coding preferably Outpatient Radiology
• Strong knowledge of chart auditing/abstracting process
• Intermediate proficiency in Microsoft Word and Excel

Soft Skills:

• Strong written and communication skills
• Organizational skills
• Ability to work independently and on a team
• Problem solving and decision making skills
• Strong time management skills

*All Telecommuters will be required to adhere to UnitedHealth Group s Telecommuter Policy.

New York Residents Only: The salary range for New York residents is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location, and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: 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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RED, #RPO