Certified Senior Coder - Remote in OR - Optum

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. 

#RPO #RED