Dein Plus bei der vitagroup - 28 Tage Urlaub - Möglichkeit der deutschlandweiten Arbeit aus dem Home Office heraus oder an einem unserer Standorte in Mannheim oder Chemnitz - Betriebliche Altersvorsorge - Auslandskrankenversicherung - JobRad: Fahrrad-Leasing zur beruflichen und privaten Nutzung - Attraktive MitarbeiterInnen-Rabatte - Offene Feedback-Kultur und individuelle Weiterbildung - Interdisziplinäre Aufgaben - Agile & digitale Unternehmensstrukturen - Über 20 Jahre Wissen & Erfahrung in der digitalen Gesundheitswelt - Mentoring & Wissensaustausch Dafür brauchen wir Dich - Die Betreuung des ärztlichen Bereitschaftsdienstes - Du beantwortest eingehende Anrufe zu medizinischen Anliegen und vermittelst die Anrufenden an die entsprechende Einrichtung weiter - Du dokumentierst alles in ein entsprechendes System am PC Die Stelle umfasst 20 Wochenstunden. Das bringst Du mit - Du hast eine abgeschlossene medizinische oder eine vergleichbare Ausbildung / Studium oder bist eingeschriebene/r Student:in eines medizinischen Studiengangs - Spaß und Interesse am telefonischen Kontakt mit Menschen und vielleicht auch schon Telefonie-Erfahrung - Empathie, Zuverlässigkeit, Flexibilität und Belastbarkeit - Gute Deutschkenntnisse und PC-Anwenderkenntnisse (MS Office) - Die Bereitschaft zum Schichtdienst - Du bringst die Bereitschaft mit, auch an Randzeiten zu arbeiten (abends bzw. nachts) und am Wochenende

Title: Senior Observation Medical Coder Location: Remote, United States Full-time Overtime status: Non-exempt Travel: No Job Description: Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. This is a virtual, remote, position that requires candidates to be highly organized, self - starters, and well-versed in technical applications. Previous success in a remote environment is preferred. Schedule: Full-time (40 hours/week) - Monday- Friday - 8-hour shifts You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Identify appropriate assignment of ICD - 10 - CDM codes and CPT-4 for observation services provided in a hospital setting - Abstract additional data elements during the chart review process when coding, as needed - 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 - Proficiency in coding infusions and injections based on coding guidelines and hierarchy - Provide documentation feedback to providers and query physicians when appropriate - Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the Coding Supervisors - Participate in coding department meetings and educational events - Review and maintain a record of charts coded, held, and / or missing - All other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - 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& 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.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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) - Current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H) - 5+ years of coding experience - 2+ years of outpatient facility and professional coding experience - 2+ years of experience working with Observation Coding and I&I Coding - 2+ years of ICD-10 experience - Intermediate level of proficiency with Windows environment including MS Excel and EMR systems - Access to reliable transportation and valid US driver's license - All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $23.89 to $42.69 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 believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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.

Title: Surgical Profee Medical Coder - Plastics & Dermatology Primary location: USA Remote Job Description: 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. 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 modifiers. Additionally, 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 issues. The 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 denials. The 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. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles 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 employees. Accordingly, 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 daily and complete each edit within 2 business days - Ensure charges are posted within the following timelines: 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 daily 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 - Competency - Attend all staff meetings - Maintain current Coding Certification and active membership in the 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 coding. This includes Epic's Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte - 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 requests, assists with the orientation, skill development and mentoring of employees new to the coding function - Provide education to all providers within a 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 directions 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) - Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually - 3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology) - 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology - 3+ years of experience working with coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture Telecommuting Requirements: - Ability to keep all company sensitive documents secure (if applicable) - Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service - Access to a dedicated work area established that is separated from other living areas and provides information privacy Physical Requirements: - The position involves extensive work at the computer station - All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 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 believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. 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

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical validity of reported diagnoses and procedures. This role evaluates coding accuracy, DRG assignment, reimbursement impact, and regulatory compliance in accordance with official coding guidelines, CMS regulations, payer policies, and organizational standards. The reviewer retrieves, analyzes, and documents medical record information to support appropriate reimbursement, documentation integrity, and audit outcomes for hospital inpatient services. Responsibilities: - Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. - Review inpatient medical records to validate the accuracy and appropriateness of reported primary and secondary diagnoses and procedures using ICD-10-CM/PCS guidelines. - Evaluate diagnosis and procedure sequencing to ensure compliance with official coding guidelines and payer requirements. - Review and validate MS-DRG assignment based on documented clinical conditions, procedures, and applicable coding rules. - Assess clinical documentation support for reported diagnoses, particularly those with reimbursement, quality, or compliance impact. - Conduct clinical validation reviews to determine whether diagnoses are supported by clinical indicators within the medical record. - Apply CMS regulations, including medical necessity criteria and the Two-Midnight Rule, when evaluating admission status and level of care. - Identify, document, and clearly communicate audit findings, including: - Coding discrepancies - Clinical validation concerns - DRG or reimbursement risk - Admission status issues - Abstract and compile audit data to support accurate reimbursement and compliance reporting. - Utilize coding software, encoder/grouper tools, and electronic medical record systems to complete reviews efficiently and accurately. - Meet productivity, quality, and contract deliverable standards in a production-driven environment. - Maintain compliance with all corporate policies, including HIPAA Privacy and Security Rules. - Serve as backup support for other administrative or audit-related functions as needed. The list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications Required Qualifications - High school diploma or GED. - Minimum of 2 years of progressive, hands-on acute care inpatient coding experience, including DRG auditing or review experience - Active possession of one of more of the following certification - CCS or CCA or CDIP (AHIMA) - CPMA (AAPC) - CCDS (ACDIS) - Demonstrated proficiency in ICD-10-CM and ICD-10-PCS - Strong working knowledge of: Inpatient coding guidelines, DRG reimbursement methodology and CMS and payer regulations - Proven ability to independently review inpatient medical records and validate: Diagnoses, Procedures, as well as MS-DRG assignment - Experience reviewing inpatient medical records - Familiarity with electronic health records, encoder/grouper tools, and coding software - Strong analytical skills with exceptional attention to detail - Effective written and verbal communication skills - Proficiency in Microsoft Office (Word, Excel, Outlook) - Ability to meet deadlines with accuracy in a fast-paced, production-focused environment - Commitment to ongoing learning and professional development Preferred Qualifications - Advanced experience and knowledge of clinical validation audits, admission status, medical necessity reviews and payer-specific audit processes Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at https://careers.acentra.com/jobs EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay range for this position is listed below. “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Pay Range USD $23.58 - USD $32.00 /Hr.