Certified Senior Coder - Remote in OR
Company: Optum
Location: Clackamas
Posted on: October 22, 2024
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Job Description:
Optum is a global organization that delivers care, aided by
technology to help millions of people live healthier lives. The
work you do with our team will directly improve health outcomes by
connecting people with the care, pharmacy benefits, data and
resources they need to feel their best. Here, you will find a
culture guided by diversity and inclusion, talented peers,
comprehensive benefits and career development opportunities. Come
make an impact on the communities we serve as you help us advance
health equity on a global scale. Join us to start -Caring.
Connecting. Growing together. - -
The Certified Senior Coder reviews provider service records to
ensure accurate coding for all services to maximize reimbursement
and meet coding requirements from insurance carriers and regulatory
agencies (Medicare and Medicaid). Additionally, acts as a resource
to providers for coding
issues.
Location: Fully Remote after 2-3 weeks of onsite training (444 NW
Elks Dr, Corvallis, OR 97330)
Schedule: -Monday-Friday, 8am-4:30pm
You'll enjoy the flexibility to telecommute* from anywhere within
Oregon as you take on some tough challenges. -
Primary Responsibilities: -
Will participate and maintain a culture within The Corvallis Clinic
that is consistent with the content outlined in the Service and
Behavioral Standards document. To this end, employee will be
expected to read, have familiarity, and embrace the principles
contained within
Codes services correctly; understands and appropriately uses all
CPT, ICD-10 and modifiers. Understands and follows all bundling
edits
Ensures that documentation supports charges billed, e.g. E/M
auditing, procedures, DOS, use of modifiers, and ICD-10
Process and input billings accurately in the practice management
system; CPT codes, modifiers, units, fees, ICD-10 codes, using
tools available to confirm codes, units and fees will be correctly
billed, e.g., checking batch with the charge report. Works claim
holds in an accurate and timely supporting our business office
policies
Provides feedback, research and answers coding questions from
providers, insurance specialists, patient account representatives
and denial tasks concerning reason for denial, patient issues and
maximum reimbursement
Quickly locates Medicare billing rules and policies, fully
comprehends how these relate, apply and -follows coding when
billing Medicare patients. Coding and billing per insurance listed,
bills per -standard processes, utilizes identified insurance
guidelines and billing accordingly. Updating new
guidelines as identified and adding to the H drive
Improve the quality of care through continuing education and
self-evaluation of the effectiveness of care. This includes
attendance/participation in most in-services/department meetings
and remaining current on department policies and procedures
Participate in orientation and training of new employees
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/GED (or higher)
Certification of advanced coding course
2+ years of coding experience and/or experience working with
medical billing and medical terminology
Preferred Qualifications:
Extensive knowledge of setting up the insurance line
Intermediate to advanced computer skills including MS Word and
Excel
Ability to work well with providers and other staff
Ability to work on multiple tasks simultaneously in a busy,
fast-paced environment while maintaining quality of work
Ability to navigate through different websites in a remote
platform
*All Telecommuters 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. -
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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. -
#RPO #RED
Keywords: Optum, Aloha , Certified Senior Coder - Remote in OR, Other , Clackamas, Oregon
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