Full Time Optum Medical Coding Jobs in Portland, OR

Certified Medical Coder

(Puyallup, WA — In-Office if Local / Remote if Non-Local)

Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patients’ wounds heal faster, and that is our goal!

***We are accepting applications for potential future opportunities and do not currently have an open position.***

Main Responsibilities (may include but are not limited to):

• Meet minimum production goals while maintaining accuracy requirements
• Review provider medical coding of services rendered for medical claim submission
• Review and respond to medical coding inquiries submitted by providers and staff
• Work directly with providers to resolve specific medical coding issues
• Analyze data for errors and report data problems
• Partner with billing office to correct and resubmit claims based on review of the records, provider input, and payor input
• Work with clinical and non-clinical groups to identify undesirable coding trends
• Ensure claims are medically coded consistently by following CPT, ICD-10, and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee
• Abide by HIPAA and Coding Compliance standards
• Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment
• Accomplish other tasks as assigned

Other Duties That May be Assigned:

• Work hand in hand with partner facilities to verify resident stay status
• Review patient information to assist in the decision-making process in regard to advance modalities
• Coordinate with outside partners for advanced modalities

Skills required to succeed:

• Must live in one of the following states: WA, OR, ID, UT, AZ, TX, VA, FL, GA, PA, IA
• 2+ years coding
• 2+ years medical billing experience (preferred but not required)
• Experience with insurance and revenue cycle management processes
• Ability to read and understand insurance EOB’s
• Proficient in reviewing edits between CPT, ICD10, and HCPCS codes
• Experience in reviewing insurance review denials and payer policies
• Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA
• Leadership qualities with the ability to effectively educate providers remotely
• Acute attention to detail with a strong, self-sufficient work ethic
• Excellent organization and use of time management skills
• Ability to prioritize workload and have a strong sense of urgency when time-sensitive situations arise
• Proficient with computers and navigating within multiple applications
• Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)
• Ability to collaborate with other UWH team members electronically via email, messaging, and telephone conferences
• Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers
• Goal-oriented and a consistent performer
• Must be self-motivated, punctual, dependable, and able to work independently
• Must be trustworthy, honest, and have a positive and professional attitude

Location: In-office for local candidates (commuting distance of Puyallup, WA) - Remote option available for qualified candidates outside the area

Compensation: $25.00 - $33.00 hourly - DOE and location

This position is classified as: Hourly, Non-Exempt; Full-Time employment

Hours: Typical hours are Monday through Friday; 7:30 am – 4:00 pm PST, (occasional overtime depending on claim volume)

Benefits:

• Work remotely from a home office
• Associates working 20+hrs per week:
  • Medical/Dental/Orthodontic/Vision/RX - 80% towards employee monthly premiums covered, HSA, dependent coverage available at employee’s expense
  • Employer Sponsored Life, AD&D, and Disability Insurance
  • Voluntary Supplemental Insurance: Accident, Cancer, Critical Illness, STD, Life
• Paid Time Off:
  • Accruals up to 132 hours (16.5 days) your first year of employment based on 1.0FTE status
• 8 paid Holidays for full-time employees
• 401(k) match on first 4%
• Core Values that promote work-life harmony
• Work with amazing people who have created a culture where we recognize each other’s wins and don’t tolerate gossip or drama

Website: www.unitedwoundhealing.com

*Do you want to grow personally and professionally by working with the best? We’d love to hear from you! Apply now:

We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.