Role Description Join Us at our Medical Coding Virtual Job Fair to learn more about this position! Tuesday, July 21st | 12–2 PM ET Register here: https://uhg.hr/optum-medicalcoding-event $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 ensuring our high standards for documentation processes are 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. We offer 4 weeks of training, conducted virtually from your home. The hours during training will be 8:00 AM - 5:00 PM Monday-Friday. 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-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting. - Understand their impact on the DRG with reference to CC/MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility. - 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. - Maintain required levels of performance in both coding quality and productivity as established by Optum360. - Provide documentation feedback to providers and query physicians when appropriate. - Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management. - Participate in coding department meetings and educational events. - Review and maintain a record of charts coded, held, and/or missing. 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 Acute Care inpatient medical coding experience (hospital, facility, etc.). - 2+ years of experience working in a Level 2 (or higher) trauma center and/or teaching hospital with a mastery of complex procedures. - 2+ years of ICD-10 (CM & PCS) and DRG coding experience. Requirements - Ability to pass all pre-employment requirements including, but not limited to, drug screening, background check, and coding. Preferred Qualifications - 2+ years of outpatient facility coding experience. - Experience working in a Level 1 Trauma center. - Experience with OSHPD reporting. - Experience with various encoder systems (eCAC, 3M, EPIC). - Ability to use a personal computer in a Windows environment, including Microsoft Excel and EMR systems. - Ability to work the weekly schedule (40 hours/week) with the opportunity to choose between Tuesday - Saturday OR Sunday - Thursday. - Flexibility to work occasional overtime and 1 weekend day based on business needs. Benefits - 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.). 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.

Medical Coding Specialist Remote - Florida Remote - Georgia Full time R26_0000001370 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Summary Reviews and completes the medical coding and pricing of the Allocation Worksheets and Calculation spreadsheets prepared by the Analysts. Essential Duties and Functions - Supports the preparation and review of the Allocation worksheet. - Prices DME, facility & medical procedures and surgeries and prescription medications. - Analyze and interpret Allocation worksheet to ensure accurate coding of diagnoses, procedures and services. - Apply appropriate ICD-10-CM, CPT, and fee schedules based on coding guidelines. - Enters the appropriate medical procedure code, NDC prescription drug code and price in the Case Management System. - Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times. - Any other duties as may be assigned. Qualifications/ Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Required Qualifications - CPT, ICD-10, HCPCS coding, and a working knowledge of NDC codes – minimum 2 years of experience - Workers’ Compensation or Liability experience working with multiple jurisdictions - Working knowledge of the Medicare system, remittance and reimbursement policies - Strong knowledge of anatomy/physiology - Strong mathematics skills - Strong excel skills Preferred Qualifications - Experience coding and billing Orthopedic and Pain Management procedures and surgeries Preferred Certificates or Licenses - Certified Professional Coder and/ or Certified Professional Biller Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: - Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance - Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement - Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services - Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

• The Consultant is seen as a senior level coding professional and provides knowledge, experience and mentorship to the team as well as other staff in the organization.

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.