Outpatient Coding Compliance Auditor- Telecommute

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

It's a given that health care is undergoing rapid and transformative change. The speed is breathtaking and accelerating every day. Optum leads the industry with innovations that are shaping the future. Not only will you be helping the health system work better for everyone, but you will do so with the support and resources of a Fortune 5 industry leader.

Outpatient Coding Auditor - This individual will conduct Professional OP audits on coders and vendor coders/auditors by reviewing documentation and coder assigned ICD-10-CM codes, Evaluation and Management codes, CPT procedure codes and modifiers in all Outpatient chart types. She/he will identify coding patterns and trends, respond to coding/auditing questions, and provide detailed educational feedback to coders and vendor auditors based on national coding guidelines.

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

Primary Responsibilities:

• Perform OP Coding audits, utilizing various auditing tools
• Analyze code assignments and interpret documentation from medical records
• Clearly document audit findings and recommend coder education based on those findings
• Articulate and summarize audit findings, referencing acceptable coding guidelines
• Audit onshore and offshore coders and auditors
• Stay abreast of relevant professional outpatient coding and billing guidelines
• Research and recommend education to coders based on individual audit outcomes
• Prioritize multiple assignments and multiple spreadsheets, documents and reports and switch gears as needed to accomplish auditing assignments

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:

• Must have at least one of the following: Outpatient Coding Credential (Certified Professional Coding (CPC), Certified Outpatient Coder (COC) or Certified Coding Specialist- Professional (CCS-P)
• 5+ years of experience in Professional outpatient Coding in various chart types
• 3+ years of Professional Outpatient Audit experience in various chart types
• 3+ years of experience in working with national coding guidelines for assignment of ICD-10 CM codes, CPT codes E/M codes and modifiers
• 3+ years of experience assigning Evaluation of management codes in multi professional specialties
• 3+ years of experience with various Electronic Medical Records (Epic, Cerner, etc.)
• 3+ years of experience with advance skills with Excel, Outlook, Word and other business applications

Preferred Qualifications:

• Additional coding credentials: Registered Health Information Administrator (RHIA) and/or Registered Health Information Technician (RHIT), Certified Professional medical Auditor (CPMA)
• Experienced in assigning and auditing codes and documentation in multiple Outpatient facility chart types
• Industry Knowledge of Medicare regulations and payment policies, including OPPS
• Understands NCCI/OCE billing edits as it relates to outpatient coding
• Team player and willing to share coding knowledge and expertise
• Proficient professional verbal and written communication skills

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $66,100 to $118,300. The salary range for Connecticut / Nevada residents is $72,800 to $129,900. 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.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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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