Requisition number: 2386646
Job category: Medical & Clinical Operations
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.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Review provider documentation and medical records to assign appropriate diagnosis and procedure codes
Abstract and code professional fee services for non-invasive cardiology procedures, including but not limited to:
Stress testing (exercise and pharmacologic)
Stress echocardiography
Transthoracic echocardiograms (TTE)
Transesophageal echocardiograms (TEE)
Apply correct CPT, ICD-10-CM, HCPCS, and modifier assignments according to coding guidelines and payer requirements
Ensure documentation supports the procedures billed
Identify documentation deficiencies and communicate with providers to obtain clarification when necessary
Work coding edits, claim denials, and audit findings to support accurate reimbursement
Maintain productivity and quality standards established by the organization
Stay current with coding regulations, payer updates, National Correct Coding Initiative (NCCI) edits, and cardiology coding guidelines
Knowledge, Skills, and Abilities:
Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
Thorough understanding of professional fee coding principles
Knowledge of cardiology terminology, anatomy, physiology, and non-invasive diagnostic testing
Ability to interpret complex medical documentation and apply coding guidelines accurately
Strong analytical, organizational, and problem-solving skills
Excellent written and verbal communication skills
Proficiency in electronic health records (EHR) and coding software applications
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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
Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-A, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually
2+ years of experience with ICD-10 and CPT coding with a focus in cardiology services
2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems
Preferred Qualifications:
2+ years of experience with non-invasive cardiology procedures
2+ years of post-certification medical coding experience
2+ years of Outpatient Physician coding (Pro-Fee) experience
Experience with EMR systems (Epic or Cerner)
Soft Skills:
Maintain coding accuracy rate of 95% or greater
Meet established productivity standards
Demonstrate compliance with all regulatory and organizational coding requirements
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 - $36 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.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
RPO #GREEN
