Role Description This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. - Expert knowledge in all facility outpatient coding types: Same Day Surgery - Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility - 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 Optum - Understand the Medicare Ambulatory Payment Classification (APC) codes - Query physicians and forms when appropriate - Knowledge of ICD-10, CPT and HCPCS coding systems, strong medical terminology - Knowledge of NCCI edit policies, Medicare LCD and NCD policies - Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others - Participate in coding department meetings and educational events - Additional responsibilities as identified by manager 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. Qualifications - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually - 2+ years of experience with ICD-10, CPT, and modifiers - 2+ years of experience in acute surgery - Intermediate level of experience working with a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and various EMR systems with ease - Intermediate level of attention to detail, accuracy and communication Requirements - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Ability to keep all company sensitive documents secure (if applicable) - Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service - *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. - 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 $20.38 to $36.44 per hour based on full-time employment. - We comply with all minimum wage laws as applicable. 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.

Role Description This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. - Expert knowledge in all facility outpatient coding types: Emergency - Identify appropriate assignment of ICD-10 Codes, CPT and modifiers for facility services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility - 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 Optum - Understand the Medicare Ambulatory Payment Classification (APC) codes - Query physicians and forms when appropriate - Knowledge of ICD-10, CPT and HCPCS coding systems, strong medical terminology - Knowledge of NCCI edit policies, Medicare LCD and NCD policies - Knowledge of professional ER leveling - Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others - Participate in coding department meetings and educational events - Additional responsibilities as identified by manager Qualifications - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually - 2+ years of experience with ICD-10, CPT, facility charging, and modifiers - 2+ years of experience in Emergency Room coding - Intermediate level of experience working with a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and various EMR systems with ease - Intermediate level of attention to detail, accuracy and communication Requirements - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Ability to keep all company sensitive documents secure (if applicable) - Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service - *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements)

Title: Medical Billing and Coding Coordinator (US Remote) Location: United States Job Description: Description & Requirements Maximus is seeking two (2) Medical Billing & Coding Coordinators to support our Independent Bill Review (IBR) Program. This role is ideal for detail-oriented professionals who thrive in a fast-paced, high-volume environment. In this role, you will ensure accurate case and coding data entry, review files for completeness, and prepare and validate IBR correspondence. You will identify gaps, request additional information, resolve discrepancies, and communicate with stakeholders to support efficient case processing. You will also ensure timely, compliant case handling while supporting system updates, redactions, and other IBR-related tasks. This is a full-time, fully remote position within the United States. Why Maximus? Work/Life Balance Support - Flexibility tailored to your needs! ️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short- and Long-Term Disability coverage. Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). Recognition Platform - Acknowledge and appreciate outstanding employee contributions. Tuition Reimbursement - Invest in your ongoing education and development. Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. Professional Development Opportunities-Participate in training programs, workshops, and conferences. Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees. Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. - Enter and verify accurate case and CPT/HCPCS/DRG data - Process IBR correspondences for the mail - Review files for completeness and documentation - Prepare and validate IBR correspondence - Identify gaps, request information, and resolve discrepancies - Communicate with stakeholders to support case processing - Ensure timely, compliant case handling - Support system updates, redactions, and other IBR tasks Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - At least 2 years of data entry experience - Ability to perform mathematical calculations - Experience working with MS office applications (Excel, Word, etc.) - Excellent organizational, interpersonal and verbal communication skills - Strong analytical skills, including the ability to research issues - Ability to work independently and collaboratively in a remote, fast-paced environment - Willingness to work within a Pacific Time (PST) schedule as needed Preferred Requirements - Experience working in a medical office or healthcare setting - Knowledge of claims processing and reimbursement practices - Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines - Understanding of claims adjudication rules and Medicare methodologies - Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules Home Office Requirements - Maximus provides company-issued computer equipment - Reliable high-speed internet service - Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity - Minimum 5 Mpbs upload speeds #ClinicalServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Professional Medical Coder II  Coding Full Time AM Shift 8 am to 5pm Sign-On Bonus: $5000  Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications - Minimum Education: High School Diploma or Equivalent - Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards - Substitutable Education & Experience (Optional): None. - Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential - Required Training: Experience working with CPT, ICD diagnosis coding; - Experience with CCI edits; - Experience with Medicare LCDs and NCDs; - Understanding of state and federal regulations as well as payor billing requirements; - Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook); - Experience with electronic health records software; - E/M Documentation Guideline (1995/1997/2021) experience. Essential Functions - Reviews and interprets medical documentation to accurately assign ICD and CPT codes for facility or professional reimbursement and statistical purposes. - Abstracts information into computer for reimbursement and statistical purposes. - Researches and stays current with trends in healthcare coding and compliance. - Keeps department manager up to date with any coding or documentation issues. - Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals. Duties & Responsibilities - Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement. - Responsible for assisting with coding claim edits and reviewing claim denials for correction. - Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times. - Performs all Other duties as assigned. We are committed to offering quality, cost-effective benefits choices for our employees and their families: - Day ONE medical, dental and life insurance benefits  - Health care and dependent care flexible spending accounts (FSAs) - Employees are eligible for enrollment into the 403(b) match plan day one.  LHI matches dollar for dollar up to 6%. - Employer paid life insurance – equal to 1x salary - Employee may elect supplemental life insurance with low cost premiums up to 3x salary  - Adoption assistance - LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment - Tuition reimbursement - Student loan forgiveness