Senior Medical Coder - Remote Eligible

Senior Medical Coder

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 inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Schedule: Monday to Friday, 6 AM- 6 PM PST, 40 hours/week

Location: Remote - Nationwide

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Utilize resources and reference materials to identify appropriate medical codes and reference code applicability, rules, and guidelines.

Apply understanding of relevant medical coding subject areas to assign appropriate medical codes.

Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes.

Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information.

Follow up with providers as necessary when responses to queries are not provided on a timely basis.

Utilize medical coding software programs or reference materials to identify appropriate codes.

Apply post-query response to make final determinations.

Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations.

Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records.

Resolve medical coding edits or denials in relation to code assignment.

Provide information or respond to questions from medical coding quality audits.

Demonstrate basic knowledge of the impact of coding decisions on the revenue cycle.

Attain and/or maintain relevant professional certifications and continuing education seminars as required.

Utilize and navigate across clinical software applications to assign medical codes or complete reviews.

Will be monitored and mentored to achieve removal of apprentice classification when appropriate.

Required Qualifications:

High School Diploma/GED (or higher)

Coding Certification from AAPC or AHIMA Professional Coding Association: (CPC-A)

3+ years of coding experience in family medicine

Advanced level of proficiency with ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines

Advanced level of knowledge of medical terminology, disease process, and anatomy and physiology

Must be task oriented and able to meet designated deadlines and productivity standards

Preferred Qualifications:

Previous Revenue Cycle experience working denials

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). The hourly pay for this role will range from $23.41 to $41.83 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.