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UnitedHealth Group Medical Coder Telecommute in Baltimore, Maryland

The Medical Coding Analyst provides coding and coding auditing services supporting Complex Care Management clinical programs. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.

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 health assessments to identify unclear or incomplete clinical documentation as well as determine diagnosis codes for each encounter

  • Review and analyze progress notes and attestation statements submitted by providers for ICD code validation

  • Assigns ICD codes as well as CPT codes to visit encounters

  • Submits queries to providers consistent with established department protocols

  • Maintains 96% or better coding accuracy rate

  • Maintains production standards set by department benchmarks

  • Communicates professionally and effectively with Advanced Practice Clinicians and staff

  • Maintain knowledge of Risk Adjustment regulatory requirements

  • Maintain knowledge of CPT/Evaluation and Management Guidelines

  • Keeps abreast of coding guidelines and reimbursement reporting requirements

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 or GED equivalent

  • Coding Credential from National Accredited Organization such as AAPC or AHIMA (CPC, CPC-A, CCS, CCS-P, RHIT, RHIA etc.)

  • Knowledge of ICD-10 CM guidelines and coding

  • Strong attention to detail

  • Must have the ability to perform in a deadline driven environment

  • Must be able to maintain professionalism and a positive service attitude at all times

  • Ability to analyze facts and exercise sound judgment when arriving at conclusions

  • Ability to effectively report deficiencies with a recommended solution in oral and/or written form

  • Proficiency with Microsoft Office applications to include Word, Excel, PowerPoint and Outlook

  • Ifyou need to enter a work site for any reason, you will be required to screenfor symptoms using the ProtectWell mobile app, Interactive Voice Response(i.e., entering your symptoms via phone system) or a similar UnitedHealthGroup-approved symptom screener. Employees must comply with any state and localmasking orders. In addition, when in a UnitedHealth Group building, employeesare expected to wear a mask in areas where physical distancing cannot beattained.

Preferred Qualifications:

  • Experience with Risk Adjustment/HCC Coding Model

  • Experience with various EMR systems

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCare's support services do not interfere with or control the practice of medicine by the medical practices or any of their physicians.

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

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.

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

Job Keywords: Medical Coder, Telecommute, Telecommuter, Telecommuting, Work from home, Work at home, Remote