Optum
Overview
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. Schedule
This position is full-time, Monday - Friday. Employees are required to work 8-hour shifts between 6 AM and 6 PM. It may be necessary, given the business need, to work occasionally overtime or weekends. Remote Work
Youll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities
Assesses and interprets the needs of the Ambulatory Coding Team by prioritizing work to meet deadlines. Identifies solutions to non-standard edits, workflows, and issues. Solves complex questions and conducts analysis of trends to provide education for the coding staff and clients including physicians/providers. Provides detailed education to the Coding Team and acts as a resource to others. Train and review assignments completed by new employees and provide post-hire reviews as needed. Apply expert coding knowledge to professional coding and billing initiatives and inquiries. Identify appropriate assignment of ICD-10-CM, CPT, and HCPCS II Codes for physician services, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes 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 Understand federal coding register and ensure guidelines are used and followed appropriately. Understanding of appeal process with knowledge how to speak to denial and/or appeals. Provide documentation feedback to providers and query physicians when appropriate Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by Compliance, Coding Operations, etc. Participate in coding department meetings and educational events Strong knowledge of coding clinics and how to obtain education information. Process Rebills as appropriate. Other duties at the discretion of the Coding Supervisor Benefits and Perks
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life and AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits Required Qualifications
High School Diploma/GED (or higher) Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually 3+ years of Physician medical coding (ICD-10, CPT, HCPCS II) experience in a multi-specialty physician clinic Expert level of experience working in a level II trauma center and/or teaching hospital with a mastery of complex procedures in one or more the following specialty areas: Cardiothoracic, Vascular and Cardiac, Urology, Oncology, Gastroenterology, General Surgery, OB/GYN, Hospitalist, Primary Care, and other specialties may be applicable Expert level of experience with professional E/M coding Intermediate level of knowledge of OCE, MUE and NCCI classification and reimbursement structures Ability to use a PC in a Windows environment, including MS Excel and various EMR systems Must be able to communicate effectively face-to-face and in writing Must be able to provide expert level coding guidance to physicians, practitioners, and coders as needed Preferred Qualifications
Experience auditing charts in a professional coding environment Experience providing physician/coding education Experience with various systems (CACp, EPIC, Allscripts, IDX, RCX, Encoder Pro) Intermediate level of experience with Microsoft Excel *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation and Benefits
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
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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. Schedule
This position is full-time, Monday - Friday. Employees are required to work 8-hour shifts between 6 AM and 6 PM. It may be necessary, given the business need, to work occasionally overtime or weekends. Remote Work
Youll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities
Assesses and interprets the needs of the Ambulatory Coding Team by prioritizing work to meet deadlines. Identifies solutions to non-standard edits, workflows, and issues. Solves complex questions and conducts analysis of trends to provide education for the coding staff and clients including physicians/providers. Provides detailed education to the Coding Team and acts as a resource to others. Train and review assignments completed by new employees and provide post-hire reviews as needed. Apply expert coding knowledge to professional coding and billing initiatives and inquiries. Identify appropriate assignment of ICD-10-CM, CPT, and HCPCS II Codes for physician services, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Understand the Medicare Ambulatory Payment Classification (APC) codes 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 Understand federal coding register and ensure guidelines are used and followed appropriately. Understanding of appeal process with knowledge how to speak to denial and/or appeals. Provide documentation feedback to providers and query physicians when appropriate Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by Compliance, Coding Operations, etc. Participate in coding department meetings and educational events Strong knowledge of coding clinics and how to obtain education information. Process Rebills as appropriate. Other duties at the discretion of the Coding Supervisor Benefits and Perks
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life and AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits Required Qualifications
High School Diploma/GED (or higher) Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually 3+ years of Physician medical coding (ICD-10, CPT, HCPCS II) experience in a multi-specialty physician clinic Expert level of experience working in a level II trauma center and/or teaching hospital with a mastery of complex procedures in one or more the following specialty areas: Cardiothoracic, Vascular and Cardiac, Urology, Oncology, Gastroenterology, General Surgery, OB/GYN, Hospitalist, Primary Care, and other specialties may be applicable Expert level of experience with professional E/M coding Intermediate level of knowledge of OCE, MUE and NCCI classification and reimbursement structures Ability to use a PC in a Windows environment, including MS Excel and various EMR systems Must be able to communicate effectively face-to-face and in writing Must be able to provide expert level coding guidance to physicians, practitioners, and coders as needed Preferred Qualifications
Experience auditing charts in a professional coding environment Experience providing physician/coding education Experience with various systems (CACp, EPIC, Allscripts, IDX, RCX, Encoder Pro) Intermediate level of experience with Microsoft Excel *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation and Benefits
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN
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