Job Title: Medical Coder
Company: Optum, a UnitedHealth Group Company
Location: Global
About Optum
Optum is a global leader in delivering care, supported by cutting-edge technology, to help millions of people achieve healthier lives. With a mission to connect people to the care, pharmacy benefits, and data they need, Optum fosters a culture built on diversity and inclusion, talented peers, and career development opportunities. Join our mission to advance health equity worldwide.
Position Overview
As a Medical Coder at Optum, you will play a pivotal role in accurately coding professional services, diagnoses, procedures, and modifiers based on medical records in compliance with regulatory and client guidelines. This includes adhering to the standards set by ICD-10-CM, CPT, HCPCS, CMS, and AMA guidelines.
Primary Responsibilities
Apply updates from AMA, AHA, and CMS guidelines effectively.
Review medical records to assign or modify CPT codes for surgical procedures, vaccines, and laboratory services.
Extract and code screening CPT and HCPCS codes from documentation.
Utilize NCCI Edits and LCD/NCD coverage determinations to ensure coding accuracy.
Collaborate with team members to enhance productivity and maintain quality benchmarks.
Prioritize and organize tasks to meet regulatory and client timelines.
Ensure confidentiality and maintain the security of patient records in compliance with HIPAA.
Adapt to changes in work locations, shifts, and policies as required by business needs.
Eligibility Criteria
Qualifications:
Bachelor's degree in Life Sciences or Allied Medicine.
Certified Medical Coder through AAPC or AHIMA (CPC, CCS, CIC, or COC certifications accepted).
Skills:
In-depth knowledge of Medical Terminology, Human Anatomy, and Physiology.
Proficient in ICD-10-CM, CPT, and HCPCS guidelines.
Familiarity with ED/EM levels and appending modifiers based on NCCI edits and CPT guidelines.
Strong understanding of security policies and data protection.
Why Join Optum?
At Optum, you’ll be part of a company dedicated to improving health outcomes and making the healthcare system work better for everyone. We prioritize:
Equitable care that reduces health disparities.
Sustainability, with a commitment to reducing environmental impact.
Diversity and inclusion to create a welcoming workplace for all.
Be part of a global team that is transforming healthcare. Apply now to make an impact!
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