Ambulatory Observations (SDS) Certified Medical Coder

Company: UnitedHealth Group
Location: Sun City West
Posted on: September 20, 2023

Job Description:

$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
The -Ambulatory Observations (SDS) Certified Medical Coder -position -is full-time (40 hours/week) Monday to Friday. Employees are required to have flexibility to work our business hours and -will have the opportunity to choose between Tuesday - Saturday or Sunday - Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional weekends and overtime. -
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 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

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 (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
2+ years of Outpatient Facility coding experience
ICD-10 experience
Ability to use a PC in a 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.
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**PLEASE NOTE** The sign-on bonus is only available to external candidates. - Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus. -
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California, Colorado, Nevada, -Connecticut, -New York, New Jersey, -Rhode Island or -Washington Residents Only: -The hourly range for -California, Colorado, Nevada, -Connecticut, -New York, New Jersey, -Rhode Island or -Washington -residents is $18.80 to $36.78 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. - -
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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. -
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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. -
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#RPO #RED

Keywords: UnitedHealth Group, Sun City West , Ambulatory Observations (SDS) Certified Medical Coder, Healthcare , Sun City West, Arizona