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Job Details

UnitedHealth Group

Senior Medical Risk Coder - Telecommute



Full Time

On Site


Hamden, Connecticut, United States

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

The Senior Coder reports to the Manager, Coding & Auditing and demonstrates proficiency in all aspects of coding. The Senior Coder demonstrates experience by correlating coding accuracy with correct code assignments. This role qualifies for remote status.

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

Primary Responsibilities:

  • Maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials
  • Abides by all ethical standards and adheres to official coding guidelines
  • Conducts physician chart audits (includes research and presentation)
  • Assists with implementation of billing policies and procedures in all centers
  • Assists with formal training programs for physicians and clinical staff by determining training needs
  • Assists Manager with researching, analyzing, and responding to inquiries regarding compliance, coding, and inappropriate coding
  • Trains, instructs, and/or provides technical support to physicians and staff as needed regarding coding compliance provisions, and third-party payer requirements
  • Works with Manager of Coding and Auditing to provide oversight of other coder/auditor team members as delegated
  • Works closely with Manager of Coding and Auditing to develop practitioner and staff education opportunities, provide coding and audit result reporting, and additional responsibilities as required
  • Be able to conduct training sessions for physicians and staff on relevant topics such as documentation guidelines, Medicare/Medicaid regulations, and the Correct Coding Initiative
  • Available to assist and direct other coders or other appropriate staff in coding opportunities and reimbursement issues
  • Performs related work and projects as required
  • Performs other duties as assigned
  • Ability to travel up to 10% is required

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 equivalent
  • Coding certification through AAPC or AHIMA
  • 3+ years of coding experience
  • Excellent understanding of ICD-10-CM coding classification and guidelines
  • Excellent understanding of CPT, HCPCS, and modifier coding and guidelines
  • Excellent understanding of medical terminology, disease process and anatomy and physiology
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualifications:

  • Supervisory experience
  • Good organizational and communication skills
  • Task oriented and able to meet designated deadlines and productivity standards
  • Solid Interpersonal skills and excellent Customer Service skills
  • Ability to present a professional image when interacting with all levels of staff
  • Ability to read, write, speak, and understand the English language fluently

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

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)

Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $21.68 to $38.56. The hourly range for Connecticut / Nevada residents is $23.94 to $42.40. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.