Risk Adjustment Coder for United Health

The Job — Risk Adjustment Coder for United Healthmedical-cross-2-971652-m

Location — Full telecommute, available anywhere.

Job Responsibilities —  From Monster.com

-Perform ongoing review of medical record charts for the appropriate ICD-9 code(s) according to CMS and ICD-9 guidelines

-Receive assigned medical charts to code

-Review medical charts electronically using a computer

-Abstract and code diagnosis and documentation information

-Research and resolution of coding projects as assigned

-Document requested information from the medical record

-Determine valid encounters including legibility and valid signature requirements

-Identify valid face to face encounters

-Coder is responsible for meeting daily production goal and quality goal of averaging 95% accuracy rate

-Attend conference calls as necessary to provide information and/or feedback

-Execute the tactical day-to-day activities of the Quality Assurance process

-Mastery of Optum coding guidelines, applications and practices. Subject matter expert

-Perform, summarize and report on the Quality Assurance audits

-Review QA findings with individual coders. Provide coaching and mentorship

-Analyze QA results and create reports

-Collaborate with training department to develop training materials based upon QA results

-Communicates with management regarding audit finding


-High School Diploma or GED

-3+ years of professional coding experience

-Have had a Coding Certification to include the following: CPC, CCS, RHIA, or RHIT (no CPC-A, RHIT-A, etc.) for at least 3 years

-Ability to identify and code diagnosis codes according to CMS and ICD-9 standards

-Anatomy knowledge

-Advanced knowledge of coding guidelines

-Computer proficiency in a Windows environment, including MS Word and Excel

-Pharmacology knowledge

-Risk Adjustment/ HCC coding experience

Schedule —  Full time day hours, Monday through Friday.

Employee or Contract — Employee

Compensation — Not advertised.  Click here for Glassdoor reviews.

Benefits — Yes, click here to review.

More Information — Review and apply for this job at monster.com.