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Entry Level: Surgical Medical Coder – Remote Nationwide ID-8151

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.

 

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As a Surgical Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. Works closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding and appeals of payer rejections relating to coding.


Schedule (38.75 hours): Following training, hours will be Monday-Friday (either 4-9.7-hour workdays or 5-7.75-hour workdays) between 6am-6pm EST. Candidates residing in EST or CST preferred.

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

 

Primary Responsibilities:

Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center and other charges for physicians and other providers of professional billing
Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing
Contacts providers or their representatives regarding inappropriate, incomplete or unclear coding
Searches for information in cases where the coding is complex or unusual. Forwards unresolved coding questions to manager for review and comment
Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations
Notifies manager of any coding denial trends
Responds to coding related inquiries from providers and support staff and others as requested
Must keep current of governmental and other payor coding and reimbursement rules and requirements

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