Profee E/M Medical Coder

• 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You will enjoy the flexibility to telecommute
• from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT, ICD-10 Codes and Modifiers for various E/M services across multiple services including but not limited to: Emergency Department, Hospitalists, Primary Care, etc Expert knowledge in all ProFee coding specialties; including but not limited to, Evaluation & Management, Critical Care, Trauma while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Edits Abstract additional data elements during the chart review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and/or AHIMA Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum Provide documentation feedback to providers, as needed, and query physicians when appropriate Maintain up-to-date coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, among others Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Additional responsibilities as identified by manager You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

High School Diploma/GED Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) to be maintained annually 3+ years of experience with ICD-10, CPT and HCPCS Ability to use a PC in a Windows environment, including Microsoft Excel (create and edit spreadsheets) and utilize various EMR systems with ease Ability to flex and float to multiple clients as directed