Entry-Level, Pro-Fee Physician Coding Liaison/Educator - Remote

Company: UnitedHealth Group
Location: Arlington
Posted on: March 19, 2023

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. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm)

Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

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

Primary Responsibilities:

• Assesses and interprets needs of the Ambulatory Coding Team by prioritizing work to meet deadlines
• Identifies solutions to non-standard edits, workflows, and issues
• Solves complex questions and conducts analysis of trends to provide education for the coding staff and clients including physicians/providers
• Provides detailed education to the Coding Team and acts as a resource to others
• Train and review assignments completed by new employees and provide post-hire reviews as needed
• Apply expert coding knowledge to professional coding and billing initiatives and inquiries
• Identify appropriate assignment of ICD-10-CM, CPT, and HCPCS II Codes for physician services, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility
• Understand the Medicare Ambulatory Payment Classification (APC) codes
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA
• Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360
• Understand federal coding register and ensure guidelines are used and followed appropriately
• Understanding of appeal process with knowledge how to speak to denial and/or appeals
• Provide documentation feedback to providers and query physicians when appropriate
• Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the Compliance, Coding Operations, etc.
• Participate in coding department meetings and educational events
• Solid knowledge of coding clinics and how to obtain education information
• Process Rebills as appropriate
• Other duties at the discretion of the Coding Supervisor
  
  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:
  • Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually
  • 3+ years of physician (pro-fee) medical coding experience in a multi-specialty physician clinic
  • 2+ years of experience providing consultation and/or education to physicians and practitioners on coding guidelines and requirements
  • 2+ years of experience with Inpatient and Outpatient E/M coding
  • Experience with ICD-10, CPT, and HCPCS II
  • Intermediate knowledge of OCE, MUE and NCCI classification and reimbursement structures
  • Expert level experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures in one or more the following specialty areas: Cardiothoracic, Vascular and Cardiac Catheterizations, Orthopedics, Neurology, Neurosurgery, General Surgery, OB/GYN, Hospitalist, and other specialties may be applicable
  • Intermediate proficiency in Microsoft Office Suite
  • Proficiency in various EMR software (i.e., EPIC, Cerner, AllScripts, 3M, etc.)
  • Dedicated work area established that is separated from other living areas and provides information privacy
  • Ability to keep all company sensitive documents secure (if applicable)
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
    
    Preferred Qualifications:
    • Experience auditing charts in a professional coding environment
    • Experience with various Encoder systems
    • Knowledge of Medicare Ambulatory Payment Classification (APC) codes
    • Firm understanding of federal coding guidelines
    • Understanding of appeals/denials process
    • Solid knowledge of coding clinics and how to obtain educational information
    • Proven ability to present coding information and/or training to coding professionals or providers
      
      Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.
      
      All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
      
      California, Colorado, Connecticut, Nevada, New York City, or Washington Residents Only: The hourly range for California, Colorado, Connecticut, Nevada, New York City, or Washington residents is $27.07 to $53.08. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
      
      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.
      
      

Keywords: UnitedHealth Group, Arlington , Entry-Level, Pro-Fee Physician Coding Liaison/Educator - Remote, Healthcare , Arlington, Texas