• Performs Current Procedural Terminology (CPT) and International Classification of Diseases coding through abstraction of the medical record. • Trains physicians and other staff regarding documentation, billing and coding. • Performs various administrative and clerical duties to support the role’s core function. • Ensures charges are captured by performing various reconciliations.

• Track and manage accounts receivable, ensuring aging amounts remain within targeted levels. • Regularly check the status of submitted claims to ensure timely processing and payment. • Resubmit claims for appeal as necessary, working to resolve any issues that may delay payment. • Prepare and send out patient statements in a timely and accurate manner. • Conduct patient collection phone calls, professionally addressing outstanding balances and negotiating payment arrangements. • Respond to patient phone inquiries regarding their accounts, providing clear and helpful information. • Accept phone payments from patients, ensuring accurate processing and record-keeping. • Monitor Denial Trends and provide timely and accurate resolutions. • Handle complex denials and appeals. • Utilize different collection strategies to achieve optimum reimbursement on delinquent accounts. • Follow team and/or clients proper procedures, policies, and methodologies as instructed. • Performs other related duties as necessary or assigned.

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. We’re focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing 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. As a part of our continued growth, we are searching for a new Medical Coder to join our team. Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. Responsible for ensuring the accuracy and completeness of clinical coding in various departments, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. Hours: This position is full - time (40 hours / week), Monday - Friday 8 hour shifts 5 days a week. You will work with manager on your schedule. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes to all Nephrology services - Monitors assigned work queues to ensure all records are charged/coded in a timely matter - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision 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 - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-A, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually - 2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems - 2+ years of experience with ICD-10 and CPT coding - 2+ years of experience with Gastro coding Preferred Qualifications: - 2+ years of post-certification medical coding experience - 1+ years of Outpatient Physician coding (Pro-Fee) experience - Experience with various encoder systems (Encoder Pro, EPIC) *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

Role Description Appropriately analyzes and codes complex inpatient records. Position requires high-level expertise in coding and documentation guidelines, coding clinics and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. Acts as a recognized subject-matter expert, leading DRG validation, revenue integrity analyses, and strategic coding compliance projects across the department. - Performs ICD-10-CM diagnostic and ICD-10 PCS procedural coding to maintain an accurate database & ensure accurate coding at minimum accuracy rate of 95%. - Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. - Applies knowledge of diagnosis related group assignment, official Coding guidelines, comorbidity/complication coding, Hospital acquired conditions, accurate present on admission assignment, and current American Hospital Association coding clinic guidance. - Effectively and professionally communicates with providers and/or CDI staff when necessary to clarify documentation in order to assign accurate diagnoses and procedures in order to calculate the appropriate diagnosis related group and severity of illness/risk of mortality. - Ability to code using either 3M encoder or ICD-10-CM/ICD10 PCS codebook. - Mentors and trains junior coders. - Performs audits as assigned by the coding manager. - Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, including the ability to assist in appealing payer denials. - Responds to all business office questions regarding diagnoses and procedures in a timely manner. - May assist as needed in other coding areas. - Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. - Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. - Fulfills all compliance responsibilities related to the position. - Maintain and models the organizations values. - Demonstrates regular, reliable and predictable attendance. - Performs other duties as assigned. Qualifications - Essential/Required: Certified Coding Specialist (AHIMA), or Certified Inpatient Coder (AAPC) - Required: Specialized training in medical terminology, ICD-10-CM/ICD-10 PCS coding. Ability to decipher operative reports, medication orders & various medical records in the appropriate selection of codes. Experience in acute care coding inpatient records. - Minimum Experience: Five years demonstrated coding experience in appropriate application of coding and documentation guidelines. - Desired: Course work in Anatomy and Physiology and knowledge of CPT codes. - Education Derived Education Essential: HS Graduate or Equivalent. Requirements - Manual: Little or no manual skills/motor coord & finger dexterity. - Occupational: Little or no potential for occupational risk. - Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force. - Physical Environment: Generally pleasant working conditions. Benefits - Salary Range: $32.23 - $59.86 Hourly DOE (Western CT Health Network Inc) - Salary Range: $33.21 - $61.68 Hourly (Nuvance Health)