UnitedHealth Group

Title: Lead Quality Assurance Coder- Telecommute

Division: O360 Quest
Contest Number: 770273
Location: Addison Texas United States
Family: Medical and Clinical Operations
Function: Medical Coding
Business Segment: OptumInsight
Region: North America
Country: United States
City: Addison
State: Texas
Employee StatusRegular
Schedule: Full-time
Job Level
Individual Contributor
Shift: Day Job
Travel: No
Telecommuter Position: Yes

For you, its all about the details. Because you understand that getting everything exactly right ultimately helps people live healthier lives. Here at UnitedHealth Group, we couldn’t agree more. If you want to play a role in inventing the future of health care, here’s your opportunity. Join us today.

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

Primary Responsibilities:

  • Perform quality control of CPT and ICD coding of requisitions and pathology reports performed by Medical Coding Representatives and lab operations with adherence to the AmeriPath QA / QC process
  • Provide coaching, training, and mentorship to coding team
  • Input coding discrepancies in master database providing monthly statistics to management
  • Conduct training for coding associates on errors found in QC process, complete and retain appropriate documentation of all training sessions delivered
  • Research coding errors identified in Compliance audits, conduct additional training related to errors found in audits
  • Serves as backup for all frontend billing system edits
  • Rejection and denial review and corrections
  • Serve as Subject Matter Expert on coding LIS enhancements as needed (all LIS systems Ameripath codes for)
  • Serve as Subject Matter Expert on billing system related coding enhancements as needed
  • Serve as project leader on coding initiatives (updates, corrections, new coding changes) as needed
  • Train coding team on new coding enhancements/rollouts
  • Collaborate with Coding Compliance on trends in coding findings and changes in coding policies
  • Perform quality assurance of new functionality in any of our LIS systems as needed
  • Other duties as assigned
  • Opportunity for career growth and ability to work from home.

Required Qualifications

  • High School Diploma or GED
  • Active AAPC coding credential
  • 5 years medical coding experience in Anatomic Pathology with intermediate to advanced understanding of Oncology, Cytology, Dermatology, Molecular, Esoteric and HemOnc coding
  • Ability to communicate clearly and concisely in both written and verbal communications
  • Must adhere to confidentiality practices
  • Ability to work independently
  • Strong understanding of Ameripath LIS systems (Pathway*, Winsurge*, Copath*, AS400, Intellipath) * Denotes core Ameripath systems
  • Strong desire for providing quality and initiating corrective measures based on found results
  • Intermediate Excel skills

Preferred Qualifications:

  • 1+ years of leadership experience
  • Advanced Microsoft office skills

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)

*All Telecommuters will be required to adhere to UnitedHealth Groups 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.

Job Keywords: CPC, AAPC, Medical Coder, auditing, ICD-10, telecommute