• Supervise and lead a team of medical billing specialists, providing guidance, training, and support as needed • Communicate and facilitate special projects, reports, and requests from client • Assign tasks, set priorities, and monitor performance to ensure productivity and accuracy • Develop and improve billing policies, procedures, and workflows to optimize efficiency • Review and approve billing documents, ensuring compliance with coding guidelines and regulatory standards • Manage accounts receivable, tracking outstanding balances and initiating collection efforts when necessary • Analyze trends and make recommendations to the client • Stay current with healthcare billing regulations, coding updates, and industry trends

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. Primary Responsibilities: - 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 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, facility charging, and modifiers - 6+ months 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 employees working remotely 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. - 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). - The hourly pay for this role will range from $20.00 to $36.00 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.

• Insurance Claims Management: Regularly review, update, and systematize patient and insurance company payment logs. Prioritize timely and accurate insurance claims submission to optimize revenue. • Software Optimization: Actively collaborate with the team to augment the capabilities of WebPT Therabill and other software tools. Detect areas needing enhancement and devise effective resolutions. • Payment Tracking: Create and sustain robust systems to oversee payments, ensuring no claim remains unsettled. Pinpoint and rectify any discrepancies or issues swiftly. • Health Insurance Expertise: Leverage extensive knowledge of U.S. health insurance, especially in the context of physical therapy. This includes adept management of secondary insurance claims, accurate patient billing, visit tracking, and ensuring services are billed on time. • Efficiency Enhancement: Collaborate with the team to refine and automate routine tasks, particularly those managed via Google Sheets. Revise workflows to support the practice's expansion.

• Insurance Claims Management: Regularly review, update, and systematize patient and insurance company payment logs. Prioritize timely and accurate insurance claims submission to optimize revenue. • Software Optimization: Actively collaborate with the team to augment the capabilities of WebPT Therabill and other software tools. Detect areas needing enhancement and devise effective resolutions. • Payment Tracking: Create and sustain robust systems to oversee payments, ensuring no claim remains unsettled. Pinpoint and rectify any discrepancies or issues swiftly. • Health Insurance Expertise: Leverage extensive knowledge of U.S. health insurance, especially in the context of physical therapy. This includes adept management of secondary insurance claims, accurate patient billing, visit tracking, and ensuring services are billed on time. • Efficiency Enhancement: Collaborate with the team to refine and automate routine tasks, particularly those managed via Google Sheets. Revise workflows to support the practice's expansion.