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UnitedHealth Group Medical Coder in Irving, Texas

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 key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required.

Hours : This position is full-time (40 hours/week) Monday - Friday during our normal business hours of 5=8am - 5pm.

We offer 4-6 weeks of paid training. The hours during training will be 8am to 5 pm CST, Monday – Friday.

This will be a hybrid role within the DFW area (telecommute and onsite as needed).

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

Primary Responsibilities:

  • Receive assigned provider inquiries and perform a code review on both professional and facility claims

  • Make determinations on cases after a coding review is complete

  • Review various edits on cases and complete audit of medical records received to ensure proper editing is applied

  • Review medical charts electronically

  • Abstract and code diagnosis and procedures from the medical record

  • Review and supply procedure and diagnosis codes for benefit coding requests

  • Document requested information from the medical record

  • Perform ongoing analysis of medical record charts for the appropriate coding compliance

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)

  • CPC certification or proof that certification has been obtained within nine months of hire date from the American Academy of Professional Coders

  • 2+ years of medical coding experience with strong attention to detail and a high level of accuracy in a clinical or managed care setting

Preferred Qualifications:

  • AAPC credentials

  • 1+ years of facility-based coding experience

  • 1+ years of managed care experience

  • Pharmacology knowledge

*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.

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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