Evaluation and Management Medical Coder/Auditor

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Evaluation & Management Medical Coder , you will provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The ideal candidate will possess prior experience of any kind talking to physicians, non - physician providers and / or their staff. Have excellent research skills and be persistent when calling provider offices. This position is full-time. Employees are required to work our normal business hours of 8:00 AM - 4:00 PM CST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of paid training. The hours of the training will be based on your schedule during normal business hours or will be discussed on your first day of employment. Training will be conducted virtually from your home. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Responsible for educational outreach via phone and email to providers. Educational outreach involves effectively communicating coding and documentation guidelines, both verbal and written, to provider(s), provider office staff and / or designated biller(s) 80-90%: Provider educational outreach via phone/email to communicate the program and coding and documentation guidelines. Be ready to discuss with individuals or groups with minimal notice 10-20%: Audit outpatient claims to validate reported services, appropriate use of procedure codes, modifiers, identify potential unbundled services, confirm place of service and number of units per claim line item. Provide written feedback using best practice industry standards and/or health plan guidelines 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 direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

High School Diploma/GED Professional coder certification (CPC, COC, CPC - P, CCS) with credentialing from AHIMA and / OR AAPC to be maintained annually Medical coding or auditing experience in the past year 2+ years of experience with E&M (Evaluation & Management) medical coding 2+ years of experience interacting with physicians in a medical setting (medical coding, medical billing, OR claims processing) 2+ years of high-volume telephonic experience 2+ years of experience in working with EMR (Electronic Medical Record) Intermediate level of