Job details
Job type full-time
Full job description
You’ll enjoy the flexibility to telecommute* from anywhere within the u.sAs you take on some tough challenges.
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you getLeading edge technology in an industry that is improving the lives of millionsHere, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliablyThere is no room for errorIf you are looking for a better place to use your passion and your desire to drive change, this is the place to beIt`s an opportunity to do your life`s best workSm
Under direction of the coding manager, the primary responsibility of the medical coder is to ensure that codes representing current international classification of diseases, 9th revision (icd-9) or 10th revision (icd-10), current procedural terminology (cpt), and the healthcare common procedure coding system (hcpcs) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiersAdditionally, the medical coder serves as the key resource to the chief and administrative director and/or manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issuesThe medical coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by transaction editing system (tes) edits, claim action report volumes, and denialsThe medical coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the coding manager and will endeavor to work in collaboration with colleagues in coding, clinical departments, health information management, information technology, and finance toward viable solutions.
We offer 8 weeks of paid trainingThe hours during training will be 8:00am to 5:00pm, monday - fridayTraining will be conducted virtually from your home.
*all telecommuters will be required to adhere to unitedhealth group’s telecommuter policy.
Primary responsibilities:
The following section contains representative examples of work that will be performed in positions allocated to this classificationBassett healthcare is a dynamic organization, and the environment can be fluidRoles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employeesAccordingly, employees may be asked to perform duties that are outside the specific functions that are listed.
Charge capture
Review charge capture documents, paper or electronic, for completeness and accuracy
Reconcile collection of charges to daily census report or schedules depending on place of service
Accurately indicate and link all icd-10 diagnosis codes, procedure codes and modifiers on the charge document
Prepare daily charge capture documents according to bassett policies and procedures
Process all pre-billing edits on a daily basis and complete each edit within 2 business days
Ensure charges are posted within the following time lines: 4 days from date of service for outpatient services and 7 days from date of service for inpatient services by monitoring lag time reports and working with practitioners and associated staff responsible for charge capture to meet those goals
Denial management
Process denials on a daily basis ensuring all requested timelines are met
Ensure procedure and icd-10 codes reflect documentation
Customer service
Respond to customer service questions and report recurring issues to management
Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback
Competencies
Attend all staff meetings
Maintain current coding certification and active membership in local aapc chapter, including participation in local events and meetings
Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct codingThis includes epic’s electronic health record application, medassets codecorrect application, and other department specific clinical/coding applications, e.gCoderyte
Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to coding manager for resolution
Review and implement changes to departmental/site clinic sheets and charge documents to reflect current icd-9 or icd-10 in october, hcpcs and cpt’s in january
Abide by standards of ethical coding as set forth by the aapc or ahima (depending on certification) and adhere to official coding guidelines as set forth by cms and the oig
Coding review and reimbursement resource
Conduct annual and focused reviews
Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization
Based on management request, assists with the orientation, skill development and mentoring of employees new to the coding function
Provide education to all providers within given specialty based on coding trends and will conduct new provider orientation
Performs similar or related duties as requested or directed
Performs other duties as requested and observed by supervisor or 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) or equivalent years of work experience
1+ years of experience in hospital/physician coding and/or hospital/physician bill
Cpc (cpc-a; cpc-h or cpc-p are all acceptable), rhit or ccs certification
Extensive knowledge of cpt, hcpcs, icd-10 codes, anatomy and physiology and medical terminology
Knowledge of coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture
Full covid-19 vaccination is an essential requirement of this roleUnitedhealth group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
Telecommuting requirements:
Required to have 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)
Must live in a location that can receive a unitedhealth group approved high-speed internet connection or leverage an existing high-speed internet service
Physical requirements:
The position involves extensive work at computer station
Unitedhealth group requires all new hires and employees to report their covid-19 vaccination status.
Military & veterans find your next mission: we know your background and experience is different and we like thatUnitedhealth group values the skills, experience and dedication that serving in the military demandsIn fact, many of the values defined in the service mirror what the unitedhealth group culture holds true: integrity, compassion, relationships, innovation and performanceWhether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journeyLearn more at https://uhg.hr/transitioning-military
Learn how teresa, a senior quality analyst, works with military veterans and ensures they receive the best benefits and experience possibleHttps://uhg.hr/vet
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Colorado residents only: the hourly range for colorado residents is $17.12 to $30.34Pay is based on several factors including but not limited to education, work experience, certifications, etcAs of the date of this posting, in addition to your salary, uhg offers the following benefits for this position, subject to applicable eligibility requirements: health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; employee assistance program; pto; and employee-paid critical illness and accident insurance.
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 workplaceCandidates are required to pass a drug test before beginning employment.
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