UnitedHealth Group
- Dallas, TX
- Permanent
- Full-time
Health care isn’t simply altering. It’s growing more complicated every day. Since of this healthcare facilities and healthcare companies continue to adjust, and we are an essential part of their development. If you’re searching for a much better location to utilize your enthusiasm, your concepts and your desire to drive modification, this is the location to be. It’s a chance to do your life’s finest work.SM
Delivering quality care begins with guaranteeing our procedures and documents requirements are being fulfilled and kept at the greatest level possible. This indicates working behind the scenes guaranteeing a member-centric technique to care. As an Inpatient Medical Coder you will identify and tape-record the right medical codes for all treatments and health services. Guaranteeing appropriate records is simply one method your work will affect the health and health of our members on a big scale.
Who are we? We’re Optum360 We’re a vibrant brand-new collaboration formed by Dignity Health and Optum to integrate our distinct knowledge. As part of the growing household of UnitedHealth Group, we’ll take advantage of our empathy, our skill, our resources and experience to bring monetary clearness and a complete suite of profits management services to healthcare service providers across the country.
As a Senior Medical Coder/Claims Analyst you will work from another location to fix CCI, MUE, and Medical Necessity Edits on accounts of all client key ins addition to routine coding. You will guarantee that all coding projects are precise according to coding policies and based upon the paperwork offered in the medical record. Utilizing an extensive understanding of coding policies and treatments along with medical terms and innovation, you will be accountable for supplying paperwork feedback to doctors under the instructions of the Coding Operations Manager or Quality Management workers.
This position is full-time, Monday – Friday. Workers are needed to work our regular company hours of 8: 00 am– 5: 00 pm. It might be essential, offered the service requirement, to work periodic overtime or weekends.
All Telecommuters will be needed to comply with UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
- Identify suitable task of ICD-10- CM and ICD-10- PCS Codes for inpatient services supplied in a health center setting and comprehend their influence on the DRG with referral to CC/MCC, while sticking to the main coding standards and developed customer coding standards of the appointed center
- Identify suitable project of CPT and ICD-10 Codes for outpatient surgical treatment, observation, emergency situation, and secondary services while sticking to the main coding standards and developed customer coding standards of the designated center
- Understand the Medicare Ambulatory Payment Classification (APC) codes
- Abstract extra information aspects throughout the Chart Review procedure when coding, as required
- Adhere to the ethical requirements of coding as developed by AAPC and/or AHIMA
- Adhere to and preserve necessary levels of efficiency in both coding quality and performance as developed by Optum360
- Provide paperwork feedback to service providers and question doctors when proper
- Maintain current Coding understanding by evaluating products disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, and so on
- Participate in coding department conferences and instructional occasions
- Review and keep a record of charts coded, held, and/or missing out on
- Additional duties as recognized by supervisor
You’ll be rewarded and acknowledged for your efficiency in an environment that will challenge you and offer you clear instructions on what it requires to be successful in your function along with supply advancement for other functions you might have an interest in.
Required Qualifications:
- High School Diploma/ GED (or greater)
- Professional coder accreditation with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, ROCC, CPC, COC, CPC-P) to be kept every year
- 3+ years of current Inpatient medical coding experience (medical facility, center, and so on)
- 2+ years of current working experience with OCE, MUE and NCCI category and compensation structures.
- Experience operating in a level I trauma center and/or mentor healthcare facility with a proficiency of intricate treatments, significant injury ER encounters, heart catheterization, interventional radiology, orthopedic and neurology cases, and observation coding.
- Must have ICD-10 and DRG coding experience
- Ability to utilize a PC in a Windows environment, consisting of MS Excel and EMR systems
Preferred Qualifications:
- Experience with OSHPD reporting
- Experience with different encoder systems (eCAC,3 M, EPIC)
- Intermediate level of experience with Microsoft Excel
Telecommuting Requirements:
- Required to have a devoted workspace developed that is separated from other living locations and offers details personal privacy
- Ability to keep all business delicate files safe (if relevant)
- Must reside in an area that can get a UnitedHealth Group authorized high-speed web connection or take advantage of an existing high-speed web service
UnitedHealth Group needs all brand-new hires and staff members to report their COVID-19 vaccination status.
Military & Veterans discover your next objective: We understand your background and experience is various and we like that. UnitedHealth Group values the abilities, experience and commitment that serving in the military needs. Numerous of the worths specified in the service mirror what the UnitedHealth Group culture holds real: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are seeking to shift from active service to a civilian profession, or are a skilled veteran or partner, we wish to assist your profession journey. Discover more at
Learn how Teresa, a Senior Quality Analyst, deals with military veterans and guarantees they get the very best advantages and experience possible.
Careers with OptumInsight. Details and innovation have remarkable power to change the Healthcare market and enhance individuals’s lives. This is where it’s taking place. This is where you’ll assist fix the issues that have actually never ever been fixed. We’re releasing details so it can be utilized securely and firmly anywhere it’s required. We’re producing the absolute best concepts that can most quickly be used to assist our customers enhance the quality of care and lower expenses for millions. This is where the very best and the brightest collaborate to make favorable modification a truth. This is the location to do your life’s finest work.SM
Colorado, Connecticut or Nevada Residents Only: The wage variety for Colorado homeowners is $2168 – $3856 The wage variety for Connecticut/ Nevada homeowners is $2394 – $4240 Pay is based upon numerous elements consisting of however not restricted to education, work experience, accreditations, and so on. In addition to your wage, UnitedHealth Group uses advantages such as, an extensive advantages plan, reward and acknowledgment programs, equity stock purchase and 401 k contribution (all advantages undergo eligibility requirements). No matter where or when you start a profession with UnitedHealth Group, you’ll discover a significant option of advantages and rewards
Diversity produces a much healthier environment: UnitedHealth Group is an Equal Employment Opportunity/ Affirmative Action company and all certified candidates will get factor to consider for work without regard to race, color, religious beliefs, sex, age, nationwide origin, safeguarded experienced status, special needs status, sexual preference, gender identity or expression, marital status, hereditary details, or any other particular safeguarded by law.
UnitedHealth Group is a drug – complimentary office. Prospects are needed to pass a drug test prior to starting work.
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