What Jobs are available for Medical Coding in Austin?

**Become a part of our caring community and help us put health first**
The Director, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Director, Medical Coding requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
**Strategy:**
+ In partnership with AVP, Risk Adjustment and AVP, MRA Strategy, responsible for driving ongoing efficiency and effectiveness of the divisional teams through use of people, processes, and technology enablement (including GenAI)
+ Responsible for performance management and strategy development for PCO risk adjustment at the division and market level; Partners with Clinical Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation (includes coordination with Consultative Coding leaders/coders)
+ Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking.
+ Partners with MRA Strategy Leader to identify and influence enhancements to the GenAI (C.O.D.E.R) tool to improve the medical coder experience.
+ Oversees coding operations by identifying Dyad partner needs and developing solutions.
+ Responsible for overall performance of onshore and offshore coding teams
**Dyad Partnership/Influence:**
+ Collaborates with analytical resources to develop, communicate, and present analyses of KPIs for the division, individual markets, and clinics to determine areas of opportunity (unlocked notes, pending addendums, etc. Presents analyses to Dyad leaders monthly.
+ Partner with Dyad leaders to develop and implement improvement programs and the clinic, market, and provider level; includes monitoring and refinement of existing programs and strategies to identify opportunities for improvement.
+ Proactively communicate performance, opportunities, and risks to Dyad Partners
+ Partners with Divisional CMO to support special projects (i.e., Accelr8- EDAPS improvement initiative). Includes development of action plans in partnership with Area Medical Directors and Regional Chief Medical Officers.
+ Identify/share best practices within the markets and division to foster consistent, compliant process flows.
+ Partner with Analytics teams to address data outages and communicate remediation plan to Dyad partners.
+ Partners with market operational leaders to identify operational issues that impact clinician and coder performance. (Problem List Hygiene)
+ Develops strategic partnership with the Clinical Documentation Improvement (CDI) Physician Liaison to lead clinical documentation improvement efforts; manages the divisional CDI specialist.
+ Facilitate meetings with key partners, including Clinical, Operations, Analytics, EMR, etc. to address concerns and resolve issues.
+ Partner with Dyad leaders to ensure smooth integration of newly acquired acquisitions.
**Productivity and Quality Management:**
+ Establish Key Performance Indicators (KPIs) for coding productivity and accuracy (90% coder accuracy)
+ Monitor coding staff workload and redistribute resources as needed to meet market operational demands.
+ Monitor coding processes, identify inefficiency, and develop recommendations for improvement.
+ Partner with Operational Excellence team to identify process enhancements and streamline workflows as needed.
+ Strategic partner with offshore coding team and leaders to address post-visit review coding KPIs (quality, Turn-Around-TAT, appropriate clinician queries).
+ Participate in payor meetings/discussions to ensure accurate data submission.
**Coder Education:**
+ Based on coder audits and in partnership with the training organization, develop comprehensive training program for coding staff to ensure continuous skill development and compliance with coding standards.
+ Partner with analytics and audit to identify coder errors and develop plans to address deficiencies/specific areas of focus.
**Associate Engagement and Retention:**
+ Develop and implement strategies to foster a positive work environment that encourages collaboration, innovation, and personal growth.
+ Conduct regular feedback sessions, performance evaluations and career development discussions with coding staff.
+ Assess employee concerns, resolve conflicts, and create initiatives to improve satisfaction and retention.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's degree
+ Minimum of 5 years of experience in program management, healthcare operations, or strategic execution roles.
+ A minimum of five years of people leadership experience, with a track record of managing teams and driving performance.
+ RHIA, RHIT, CCS, CPC Certification
+ MS-DRG auditing or APR auditing experience
+ Acute in-patient and/or outpatient coding experience
+ Excellent communication and executive presence - able to clearly explain complex ideas and influence diverse audiences.
+ High emotional intelligence and collaboration skills; able to connect dots across systems and teams.
**Preferred Qualifications**
+ Master's Degree
**Additional Information**
+ Preferred work hours: EST or CST
+ Up to 20% travel nationally within CenterWell markets.
**Work at Home Requirements**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$115,200 - $158,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options

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)
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 and ICD-10 Codes for Interventional Radiology services (ex. diagnostic angiography/venography, angioplasty, stent, atherectomy, embolization, thrombectomy, thrombolysis, central venous access devices, epidural injections, myelography, lumbar puncture, biopsy, drainage, aspiration, etc.)
+ Identify appropriate assignment of CPT and ICD-10 Codes for Acute Care Facility, Ancillary, ED, Multispecialty Same Day Surgery and Observation encounters
+ Reviews and codes clinical notes to ensure complete charge capture and compliance with coding guidelines
+ Work in conjunction with radiology clinical team and revenue cycle teams on follow up and resolution of coding related denials and rejections, including coding edits
+ Work closely with providers and internal teams to resolve coding queries and documentation issues
+ 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
+ Stay current with coding regulations, payer guidelines and industry updates
+ Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum
+ 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 direction 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 (or higher)
+ Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, and CPC-A) to be maintained annually
+ 2+ years of Interventional Radiology coding experience
+ 2+ years of experience with outpatient facility coding experience
+ 2+ years of experience working with ICD-10
+ Ability to use a PC in a Windows environment, including Microsoft Excel and EMR systems
**Preferred Qualifications:**
+ Experience with various encoder systems (eCAC, 3M, EPIC)
+ Expert level of experience with Microsoft Excel (create, data entry, save)
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO #GREEN

**Job Description:**
The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on incomplete, and ambiguous record documentation. They assist the coders in converting patient diagnoses and procedures documented by the providers in the EHR (Electronic Health Record) to ICD10/PCS and CPT codes at an advanced level of complexity.
**Essential Functions**
+ Provides advanced training to acute coders at all levels, providers, clinical staff, compliance and the CDI team.
+ Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding review, audit findings, and appeal strategies.
+ Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team.
+ Audits clinical documentation and coding for complex internal and external coding questions
+ Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care
+ Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI (Patient Safety Indicators)
+ Analyzes data and collaborates with applicable stakeholders to identify aberrant coding patterns and trends.
+ Participates in hospital quality improvement initiatives to assure accurate reimbursement
+ Participates in integrated testing of Epic, Solventum, and other software
**Skills**
+ ICD-10 CM/PCS and CPT
+ Electronic health record
+ Anatomy, physiology & pathophysiology
+ Training
+ Detail oriented
+ Coding software
+ Interpersonal skills
+ Auditing
+ Computer skills
+ Analytical skills
**Physical Requirements:**
**Qualifications**
**Required**
+ AHIMA CCS coding certification
+ Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements.
+ Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
+ Ability to complete and pass internal Lead coding exam.
+ Demonstrates proficiency in using coding software, electronic health records, and other health information systems.
+ Demonstrates excellent communication, interpersonal, and analytical skills
+ Demonstrated acute care facility coding experience which includes both ICD-10-CM/PCS and CPT coding with multidisciplinary service lines
**Preferred**
+ Bachelor's degree in health information management (RHIT), health informatics, or related field from an accredited institution. Education will be verified.
+ Three (3) years of experience in an HIM Coding role.
+ Demonstrated experience creating training programs and knowledge of adult learning styles.
+ Demonstrated proficiency with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools .
**Physical Requirements**
+ Ongoing need for caregiver to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require caregiver to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$33.75 - $53.16
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here ( .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.

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.**
Under direction of the Coding Manager, the primary responsibility of the **Medical Coder** is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.
+ Charge Capture
+ Review charge capture documents, paper or electronic, for completeness and accuracy
+ Reconcile collection of charges to daily census report or schedules depending on place of service
+ Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
+ Prepare daily charge capture documents according to Bassett policies and procedures
+ Process all pre-billing edits daily and complete each edit within 2 business days
+ Ensure charges are posted within the following timelines: 4 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals
+ Denial Management
+ Process denials daily ensuring all requested timelines are met
+ Ensure procedure and ICD-10 codes reflect documentation
+ Customer Service
+ Respond to customer service questions and report recurring issues to management
+ Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback
+ Competencies
+ Attend all staff meetings
+ Maintain current Coding Certification and active membership in local AAPC chapter, including participation in local events and meetings
+ Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding. This includes Epic's Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte
+ Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution
+ Review and implement changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT's in January
+ Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
+ Coding Review and Reimbursement Resource
+ Conduct annual and focused reviews
+ Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization
+ Based on management request, assists with the orientation, skill development and mentoring of employees new to the coding function
+ Provide education to all providers within given specialty based on coding trends and will conduct new provider orientation
+ Performs similar or related duties as requested or directed
+ Performs other duties as requested and observed by supervisor or manager
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.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
+ 3+ years of experience in Professional Services Psychiatry Coding
+ 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
+ 3+ years of experience working with coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture
**Telecommuting Requirements:**
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Ability to keep all company sensitive documents secure (if applicable)
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
**Physical Requirements:**
+ The position involves extensive work at computer station
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO #GREEN #RPOLinkedin

**$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS**
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.**
The **SDS/Observations Medical Coder** position is full-time (40 hours/week) Monday to Friday. .
You'll 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 and ICD-10 Codes for outpatient Ambulatory Observation services 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
+ Understand the Medicare Ambulatory Payment Classification (APC) codes
+ 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 Optum360
+ 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 direction 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 (or higher)
+ Current coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CPC or CPC-H)
+ 2+ years of outpatient facility coding experience
+ 2+ years of experience working with Same Day Surgery Coding
+ 2+ years of ICD-10 experience
+ Intermediate level of proficiency with Windows environment including MS Excel and EMR systems
**Telecommuting Requirements:**
+ Access to a dedicated work area established that is separated from other living areas and provides information privacy
+ Ability to keep all company sensitive documents secure (if applicable)
+ Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
***PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.**
The salary range for this role is $9.86 to 38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
#RPO #GREEN

**Job Title: Emergency Room Medical Coder - Level 1 Trauma Center (Remote)**
**Company:** Cognizant Technology Solutions
**Location:** Remote (Flexible Hours, Monday-Friday)
**About the Role**
Cognizant Technology Solutions is seeking an experienced **ICD-10 Coding Consultant - Outpatient** to join our team and support one or more of our healthcare clients. This is a **remote position** offering flexible hours during weekdays.
**Key Responsibilities**
+ Review clinical documentation and accurately assign ICD-10-CM diagnosis and CPT/HCPCS procedure codes for:
+ **Emergency Department encounters** (including facility E/M coding)
+ Outpatient surgery, observation, and diagnostic services
+ Ensure compliance with **federal, state, and payer regulations** and internal policies
+ Communicate with physicians to clarify documentation through compliant query processes
+ Utilize an electronic encoder application for coding assignments
+ Perform peer reviews of coding work to maintain quality standards
+ Complete reports and maintain coding accuracy of **98% or higher**
+ Meet productivity standards:
+ **ED (with facility E/M):** 64-92 encounters/day
+ **ED (without facility E/M):** 96-120 encounters/day
+ **Ancillary Testing:** 160-240 encounters/day
+ **Ambulatory/Outpatient/Interventional:** 32-48 encounters/day
+ **Inpatient:** 24 encounters/day
**Required Qualifications**
+ **Current coding credential** : CPC or COC (AAPC) in good standing.
+ **PowerChart** , developed by Cerner (now part of Oracle Health), is a comprehensive **Electronic Health Record (EHR)**
+ **Minimum 2 years of facility-based outpatient coding experience**
+ **Emergency Room coding experience in a Level 1 Trauma Center**
+ Strong knowledge of:
+ **Facility Evaluation & Management (E/M) coding**
+ **Injection and infusion coding in a hospital setting**
+ Familiarity with **federal, state, and payer regulations**
+ Ability to interpret medical records and apply coding guidelines accurately
+ Proficiency in MS Office (Word, Excel, Outlook)
+ Ability to work independently and meet deadlines in a fast-paced environment
+ Must pass a coding assessment with a score of 80% or higher
**Preferred Skills**
+ Experience with encoder applications (e.g., 3M, Optum)
+ Strong organizational skills and attention to detail
+ Excellent written and verbal communication skills
+ Adaptability to changing processes and client requirements
**Salary and Other Compensation** :
The hourly rate for this position **$31** per hour,
Applications will be accepted until November 21 th .
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
**Benefits** : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
+ Medical/Dental/Vision/Life Insurance
+ Paid holidays plus Paid Time Off
+ 401(k) plan and contributions
+ Long-term/Short-term Disability
+ Paid Parental Leave
+ Employee Stock Purchase Plan
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**What We're Looking For**
We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!
**What You Will Do:**
+ Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes
+ Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation
+ Oversee and audit the work of Level 1 & 2 Coders, where applicable
+ Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders
+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments
+ Maintain site-specific productivity benchmarks
+ Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues
**What You Need to Succeed:**
+ A minimum of 3 years of inpatient coding facility experience
+ CCS, RHIT, or RHIA preferred
+ Strong verbal and written communication skills
**What Helps You Stand Out:**
+ Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AHIMA/AAPC with a preference for CCS
+ Minimum of 3 years of inpatient coding experience at a Level I Trauma Center, preferably within an academic medical facility.
+ Experience with significant level of coding quality review feedback
+ Experience in computerized encoding and abstracting software
**What We Offer:**
+ Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
+ Free CEUs every year
+ Stipend provided to assist with education and professional dues (AHIMA/AAPC)
+ Equipment: monitor, laptop, mouse, headset, and keyboard
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$32-$42 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**What We're Looking For**
We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!
**What You Will Do:**
+ Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes
+ Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation
+ Oversee and audit the work of Level 1 & 2 Coders, where applicable
+ Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders
+ Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments
+ Maintain site-specific productivity benchmarks
+ Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues
**What You Need to Succeed:**
+ A minimum of 3 years of inpatient coding facility experience
+ CCS, RHIT, or RHIA preferred
+ Strong verbal and written communication skills
**What Helps You Stand Out:**
+ Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AHIMA/AAPC with a preference for CCS
+ Minimum of 3 years of inpatient coding experience at a Level I Trauma Center, preferably within an academic medical facility.
+ Experience with significant level of coding quality review feedback
+ Experience in computerized encoding and abstracting software
**What We Offer:**
+ Benefits for PRN employees: 401k savings plan w/match
+ Equipment: monitor, laptop, mouse, headset, and keyboard
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$32-$42 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .