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)
The coder will support the coding area by accurately coding the medical records.
Job is aligned to HIM services that requires understanding of the medical terminology and ability to interpret physician and nurse notes.
Primary Responsibilities:
Coding the medical record using the ICD-10 and CPT with desired accuracy as per SLA
Know and adhere to HIPAA regulations
Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisor
Meet quality and productivity standards and deadlines/turnaround times
Participate in Quality Improvement Activities
Performs other duties as assigned by supervisor
Reports a discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations
For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets
Assigns appropriate discharge physician in the system
Maintains the minimum data standards for accuracy and productivity as per defined KRAs/ Client SLAs
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
Certified coder – AAPC / AHIMA – CCS/CPC/CPC-H/CCS-P
Working experience of 2 – 3 years as medical Coder (ED)
Good in English communication
Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology
Working knowledge of Excel and Microsoft Office products.
Thorough understanding of the Medical record formats
Understanding of interpreting the medications and dosages
Codes outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit
The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding guidelines and SLA/organization targets
Consistently strives for efficiency and thrives to meet the targets
Demonstrates willingness and flexibility in working additional hours or changing hours whenever required between normal business hours
Demonstrates thorough understanding on how his work impacts the project / end customer
Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team
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.
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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