Medical Coding Analyst

Discipline : Medical and Clinical Operations

Industry : Medical Coding

Position Description :

- Health care isn't just changing. It's growing more complex every day. Because of this hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. If you're looking for a better place to use your passion, your ideas and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

- Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As an Inpatient Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way your work will impact the health and wellness of our members on a huge scale.

Who are we : We're Optum360, part of the UnitedHealth Group family of businesses. We're a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, our resources and experience to bring financial clarity and a full suite of revenue management services to health care providers nationwide.

Primary Responsibilities :

Research and resolution of coding projects as assigned :

- The Coder performs a variety of activities involving the coding of medical records as a mechanism for indexing medical information which is used for completion of statistics for hospital, regional and government planning and accurate hospital reimbursement

- Codes inpatient and/or outpatient records and identifies diagnoses and procedures daily according to the schedule set within the coding unit

- The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 95% accuracy in choice and sequencing of codes

- The Coder identifies and abstracts records consistently and accurately

- Consistently demonstrates time awareness: strives to meet deadlines; reduces non-essential interruptions to an absolute minimum

- Meets departmental productivity standards for coding and entering inpatient and/or outpatient records

- Participates in coding meetings and education conferences to maintain coding skills and accuracy

- Demonstrates willingness and flexibility in working additional hours or changing hours

- Demonstrates thorough understanding on how position impacts the department and hospital

- Demonstrates a good rapport and works to establish cooperative working relationships with all members of departmental and Hospital staff

- Attend conference calls as necessary to provide information relating to Coding

Requirements :

To be considered for this position, applicants need to meet the qualifications listed in this posting.

Required Qualifications :

- Must have CCS or CPC or CPC-H or COC or CIC certification from AHIMA / AAPC

- Minimum of 2 years of professional coding experience

- Experience with ICD-10-CM (vol-1, 2, & 3) and CPT-4 coding, medical terminology, anatomy and physiology and disease processes

- ED or Outpatient Clinic Coding experience

- Excellent organization and problem-solving skills

- Strong oral and written communication skills

- Ability to use independent judgment and to manage and impart confidential information

- Advanced knowledge of medical coding and billing systems and regulatory requirements

- Advanced knowledge of auditing concepts and principles

Preferred Qualification :

Professional coding experience from the hospital or office settings

- 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)

Job Keywords: Medical Coding Analyst, Medical Coder, AHIMA, AAPC, CCS, CPC, CPC Certified, CPC-H, COC, CIC, ICD-10-CM, CPT-4, Medical Terminology, Anatomy, Physiology, Disease Processes, ED Coder, ED, Emergency Department, Outpatient Clinic Coder, Outpatient Clinic, Hyderabad, Telangana

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