What are the responsibilities and job description for the Medical Coder position at UnitedHealth Group?
Opportunities with American Health Network, part of Optum. When you join American Health Network (AHN), you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We’re a physician-led organization, operating over 70 medical offices in Indiana and Ohio, with over 300 providers and 1200 employees. We’re also part of Optum, in the UnitedHealth Group family of businesses, and backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. That’s an important differentiator as more people need our help simplifying the complexities of the American health care system. At the same time, the culture of AHN supports work-life flexibility for employees and places a high value on their physical, emotional, financial and other aspects of well-being. Find out what it means to be part of an exceptional company that values its employees, its role in health care, and making a difference one patient at a time. Take a look at American Health Network and explore a new path to your life’s best work.(sm)
The Medical Coder is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare.
* Primary LocationOptum - 4882 E Main St Columbus, OH 43213
* Schedule: Hybrid - One day per week in office. 8:00am - 4:30pm, No weekends, evenings or holidays
•If you are located in Columbus, OH metropolitan area, you will have the flexibility to work remotely* as you take on some tough challenges. This is a hybrid role requiring 1 onsite day per week.*
Primary Responsibilities:
* Receive and review patient charts and documents for accuracy
* Ensure that all codes are current and active
* Report missing or incomplete documentation
* Meet daily coding production
* Update and maintain document lists
* Performs accurate charge entries
* Ensure proper coding on provider documentation
* Serves as resource regarding insurance resolutions and coding questions
* Handles charge posting
* Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
* Comply with all legal requirements regarding coding procedures and practices
* Conduct audits and coding reviews to ensure all documentation is accurate and precise
* Assign and sequence all codes for services rendered
* Collaborate with billing department to ensure all bills are satisfied in a timely manner
* Communicate with insurance companies about coding errors and disputes
* Submit statistical data for analysis and research by other departments
* Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedure
* Attends meetings and participates on committees as requested
* Reviews current literature and attends training sessions and seminars to keep informed of new developments in the field
* Complies with OSHA regulations
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 or GED equivalent
* Medical Coding Certificate (RHIT, CPC, AAPC, or AHIMA)
* 2 years of medical coding experience
* Medical Terminology knowledge through on the job experience or education
Preferred Qualifications:
* Associate's degree or above
* Experience with Medicare advantage plans and HCC Coding
* Experience with EMR/EHR
* Experience in a medical office
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
•All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
The Medical Coder is responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare.
* Primary LocationOptum - 4882 E Main St Columbus, OH 43213
* Schedule: Hybrid - One day per week in office. 8:00am - 4:30pm, No weekends, evenings or holidays
•If you are located in Columbus, OH metropolitan area, you will have the flexibility to work remotely* as you take on some tough challenges. This is a hybrid role requiring 1 onsite day per week.*
Primary Responsibilities:
* Receive and review patient charts and documents for accuracy
* Ensure that all codes are current and active
* Report missing or incomplete documentation
* Meet daily coding production
* Update and maintain document lists
* Performs accurate charge entries
* Ensure proper coding on provider documentation
* Serves as resource regarding insurance resolutions and coding questions
* Handles charge posting
* Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
* Comply with all legal requirements regarding coding procedures and practices
* Conduct audits and coding reviews to ensure all documentation is accurate and precise
* Assign and sequence all codes for services rendered
* Collaborate with billing department to ensure all bills are satisfied in a timely manner
* Communicate with insurance companies about coding errors and disputes
* Submit statistical data for analysis and research by other departments
* Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedure
* Attends meetings and participates on committees as requested
* Reviews current literature and attends training sessions and seminars to keep informed of new developments in the field
* Complies with OSHA regulations
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 or GED equivalent
* Medical Coding Certificate (RHIT, CPC, AAPC, or AHIMA)
* 2 years of medical coding experience
* Medical Terminology knowledge through on the job experience or education
Preferred Qualifications:
* Associate's degree or above
* Experience with Medicare advantage plans and HCC Coding
* Experience with EMR/EHR
* Experience in a medical office
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
•All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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