Acute Facility AMBS/OBV Coder

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. 

Coder III is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS and other regulatory agencies. 

 You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities: 

• Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for Same Day Surgery, IVR, CIVR (specialty), and Observation admissions following official coding guidelines
• Can also code ancillary and/or emergency department charts if needed
• Review provider documentation to determine reason for visit, first listed and secondary diagnosis and surgical procedures
• Provide documentation feedback to providers, as needed, and queries physicians when appropriate
• Utilize technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, ICD-10-PCS as appropriate, and CPT-4 for procedures
• Ensure accurate coding by clarifying diagnosis and procedural information through established query process if necessary
• Extract required information from source documentation and enter into encoder and abstracting system
• Review documentation to verify and when necessary, correct the patient disposition upon discharge
• Prioritize work to ensure timeframe of medical record coding meets KPI’s
• Serve as a resource for coding related questions as appropriate
• Meet performance and quality standards at Coder II level
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines
• Assists with OSHPD correction
• Participate in department meetings and educational events
• Other duties as assigned that have a direct impact on our ability to decrease the DNFB and support Revenue Cycle, including but not limited to charge validation, observation calculations, etc.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 
• Completion of an AHIMA or APPC accredited coding certification program that includes courses that are critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Anatomy / Physiology, Medical Terminology and ICD-10 and CPT coding courses etc.  
• Maintain current coding credentials from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H)  
• 2+ years Same Day Surgery, Wound Care, IVR, CVIR (specialty), Observation coding experience
• 2+ years of ICD-10 coding experience 
• Ability to use a PC in a Windows environment, including MS Word and EMR systems 
• Ability to pass all pre-employment requirements including, but not limited to:  drug screening, background check, and coding technical assessment 

 Preferred Qualifications: 

• Experience with various Encoder systems (i.e., OptumCAC, Cerner) 
• Intermediate level of Microsoft Excel 
• Experience with coding and charge validation 

 *All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. 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. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

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.

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.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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