Senior Inpatient DRG Medical Coder Specialist

Join Optum, a leading global organization dedicated to improving health outcomes through innovative technology and compassionate care. By becoming part of our dynamic team, you will contribute to transforming the healthcare landscape, helping millions of individuals access the resources they need to lead healthier lives. Our inclusive culture promotes professional growth and ensures you are equipped to impact the communities we serve positively.

The complexity of healthcare is increasing daily. With the transition from ICD-9 to ICD-10 coding, emerging regulations, and evolving financial landscapes, the demand for skilled professionals in coding is greater than ever. Here’s a chance to elevate your coding career!

Who are we? Optum360 is the result of a collaborative effort by Dignity Health and Optum, aimed at merging our expertise to provide unmatched Revenue Management services to healthcare providers nationwide. Join us in this journey to deliver exceptional healthcare services.

This full-time position operates Monday through Friday during normal business hours, with the potential for occasional overtime as needed. Enjoy the convenience of telecommuting from any location within the U.S.

Key Responsibilities:

• Accurately assign ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services in compliance with coding guidelines and established protocols.
• Utilize your expert knowledge in Inpatient DRG Coding.
• Conduct thorough data abstraction during the chart review process as necessary.
• Uphold ethical coding standards established by AAPC and/or AHIMA.
• Meet and maintain performance standards related to coding quality and productivity.
• Engage with physicians for clarification as required.
• Stay informed about coding developments and participate in educational opportunities.
• Take on additional responsibilities as assigned by management.

We reward and recognize your contributions in a supportive environment where you will receive clear guidance on how to excel in your role while also allowing for development in other career paths of interest.

Required Qualifications:

• High School Diploma/GED (or higher).
• Professional coding certification (AHIMA, AAPC credentials such as CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) with annual maintenance.
• Minimum of 3 years’ experience in inpatient DRG coding within an acute care setting.
• 3+ years of proficiency in ICD-10-CM, ICD-10-PCS, and DRG coding using an encoder.
• Intermediate skills in a Windows environment, including Microsoft Excel and familiarity with various EMR systems.
• Flexibility to work across multiple facilities as required.

Preferred Qualifications:

• Readiness to work during weekends, holidays, and overtime if necessary.

Telecommuting Requirements:

• A dedicated workspace that ensures privacy and information security.
• Ability to keep sensitive company documents secure.
• Access to a UnitedHealth Group-approved high-speed internet connection.

*All telecommuters must comply with UnitedHealth Group's Telecommuter Policy.

Compensation is based on multiple factors, including but not limited to local market trends, education, experience, and certifications. Alongside competitive salaries, we provide comprehensive benefits, including an extensive benefits package, incentive programs, equity stock purchase options, and 401k contributions, all subject to eligibility requirements. The hourly salary range for this role is $23.41 to $41.83.

UnitedHealth Group is committed to promoting health equity. We will consider qualified applicants with arrest and conviction records under the San Francisco Fair Chance Ordinance.

At UnitedHealth Group, our mission is to help people live healthier lives while continuously improving the health system. We believe that everyone, regardless of their background, deserves equal opportunities for health and wellness. We also strive to lessen our environmental impact while offering equitable care to those most in need.

UnitedHealth Group is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to any characteristic protected by applicable laws.

UnitedHealth Group is a drug-free workplace. A drug test is mandatory before commencing employment.