Role Description As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. - Code all outpatient procedures according to client specifications. - Abstract patient data, ensuring accuracy and compliance with client policies. - Stay updated on coding policies and procedures; seek clarification on ambiguous information. - Utilize healthcare abstracting software and ICD-10 data sets. - Initiate physician queries following client-specific procedures. - Monitor and communicate regulatory changes to the Coding Supervisor. Qualifications - Credentialed medical coder with at least 3 years of experience. - AHIMA preferred, AAPC may be considered. - Experience in facility OP coding for large trauma Level I facilities (SDS, OBS, OP) is essential. - IR/Cath experience is preferred. - Strong attention to detail and commitment to accuracy. Requirements - Working hours must be between 6a-6:30p Pacific time Mon-Fri only. - This is a temp part time (20 hours/week) role looking to be through mid September. - US Based. Benefits - $18.50 hour base rate plus $2.25 per chart rate. At production you will earn around $30/hr.

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 - 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.

Role Description The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. - Responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. - Responsible for understanding and applying coding knowledge to resolve billing edits related to coding. - Uses Carle electronic medical record systems to review clinical encounters. Qualifications - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) - Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) - Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) Requirements - Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. - Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. - Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. - Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). - Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. - Serve as liaison for coding and billing staff to ensure accurate charge capture. - Reports any documentation and coding improvement needs based upon review findings. - Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties. - Performs provider and peer coding audits as requested. - Assist with monitoring of internal controls for coding and billing. - Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. Benefits - The compensation range for this position is $23.58 per hour - $39.38 per hour. - The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. - Carle Health offers a comprehensive benefits package for team members and providers.

• Prepare and submit billing data and medical claims to insurance companies • Ensure the patient’s medical information is accurate and up to date • Review patient statements • Collect and review referrals and pre-authorizations • Access EMRs to locate patient demographics and insurance information • Call payers to obtain information regarding patient eligibility, authorization, and/or denials • Monitor and record patient payments • Investigate and Appeal denied claims • Work front end rejections and back-end denials • Help patients develop payment plans • Other duties as assigned