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Lead Inpatient Facility Medical Coding Specialist
2 months ago
UnitedHealth Group is a worldwide leader in healthcare, utilizing advanced technology to enhance the well-being of millions. Your contributions to our team will significantly impact health outcomes by linking individuals with essential care, pharmacy benefits, data, and resources for optimal health. Join us in making a difference in the communities we serve as we strive to promote health equity globally. Here, you will collaborate with skilled colleagues, enjoy comprehensive benefits, and thrive in a culture rooted in diversity and inclusion, along with opportunities for career advancement and your life's best work.SM
Our focus is on enhancing the health of our members, improving operational efficiency, and solidifying our reputation for delivering high-quality health services. As a Lead Inpatient Facility Medical Coding Specialist, you will provide essential coding services directly to healthcare providers. Your role will be pivotal in strengthening the healthcare system by ensuring compliance with our rigorous documentation standards.
Schedule: Full-time (40 hours/week with at least one weekend day). Employees will adhere to the weekly schedule and can select between Tuesday - Saturday OR Sunday - Thursday OR work both weekend days, with the option for occasional overtime.
We provide 4 weeks of training, conducted virtually from your home, with hours from 8:00 AM - 5:00 PM Monday-Friday.
You will have the flexibility to work remotely from anywhere within the U.S. while tackling challenging tasks.
Primary Responsibilities:
- Accurately assign ICD CM and ICD PCS Codes for inpatient services in a hospital environment, understanding their implications on the DRG with reference to CC/MCC, while following official coding guidelines and the established coding protocols of the assigned facility.
- Extract additional data elements during the Chart Review process as necessary.
- Uphold the ethical standards of coding as set forth by AAPC and/or AHIMA.
- Maintain required performance levels in coding quality and productivity as established by UnitedHealth Group.
- Provide constructive feedback to providers and query physicians when necessary.
- Stay current with coding knowledge by reviewing materials recommended by management.
- Engage in coding department meetings and educational opportunities.
- Keep accurate records of charts coded, held, and/or missing.
Required Qualifications:
- High School Diploma/GED (or higher).
- Professional coder certification from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H) to be maintained annually.
- 3+ years of experience in Acute Care Inpatient medical coding (hospital, facility, etc.).
- Experience in a Level I trauma center and/or teaching hospital with expertise in complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding.
- Proficiency in ICD-10 (CM & PCS) and DRG coding.
- Ability to fulfill all pre-employment requirements, including drug screening and background checks.
- Willingness to work the weekly schedule (40 hours/week) with options for Tuesday - Saturday OR Sunday - Thursday, including occasional overtime and one weekend day based on business needs.
- 2+ years of outpatient facility coding experience.
- Familiarity with OSHPD reporting.
- Experience with various encoder systems (eCAC, 3M, EPIC).
- Proficient in using a personal computer in a Windows environment, including Microsoft Excel and EMR systems.
**PLEASE NOTE** The sign-on bonus is only available to external candidates. Internal candidates are not eligible for this bonus.
At UnitedHealth Group, our mission is to help individuals lead healthier lives and enhance the healthcare system for everyone. We believe in equitable health opportunities for all, regardless of race, gender, sexuality, age, location, or income. We are dedicated to addressing health disparities and improving health outcomes as a priority reflected in our mission.
Diversity fosters a healthier environment: 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 maintains a drug-free workplace. Candidates must pass a drug test before commencing employment.
