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Fulltime Optum Hcc Coding Jobs in Washington (NOW HIRING)

UnitedHealth Group

Senior Medical Coder

Washington, DC · Remote

$24 - $43/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...

UnitedHealth Group

Registered Nurse

Largo, MD

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... Connecting. Growing together. $3,000 Sign-on bonus for external full-time new hires As the ...

UnitedHealth Group

Registered Nurse

Columbia, MD · On-site

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... Growing together. $10,000 Sign-on bonus available to qualified full-time new hires As the ...

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Fulltime Optum Hcc Coding information

What is the difference between Fulltime Optum Hcc Coding vs Fulltime Medical Coder?

AspectFulltime Optum Hcc CodingFulltime Medical Coder
CertificationsHCC coding certifications, CPC or CCSCPC, CCS, or similar coding certifications
Work EnvironmentHealthcare insurance, risk adjustment, and clinical data analysisHospitals, clinics, or physician offices
Industry UsageUsed mainly in health plans and risk adjustment programsUsed across various healthcare settings for billing and documentation

Fulltime Optum Hcc Coding specialists focus on risk adjustment and HCC coding within health insurance and managed care environments, often requiring specific risk adjustment certifications. In contrast, Fulltime Medical Coders work across diverse healthcare settings, focusing on accurate billing and documentation using various coding certifications. Both roles require strong coding skills but differ in their primary focus and work environment.

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Fulltime Optum Hcc Coding jobs near you
Professional Coding Auditor & Educator

Professional Coding Auditor & Educator

Trinity Health

Silver Spring, MD • On-site

$43.40/hr

Full-time

Posted 27 days ago

Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 353 frontline employees who took The Breakroom Quiz

603rd of 890 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Day Shift
Description:
Job Title:
Coding Auditor and Educator (Remote)
Employment Type:
Full-Time
Shift:
Days
(SUMMARY) Position Highlights:
  • Competitive pay

  • Additional Benefits: tuition reimbursement, free parking, employee discounts

  • Quality of Life: Flexible work schedules

  • Advancement: professional growth within the organization

  • Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.

Description:
  • Monday-Friday

The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).
Responsibilities:
  • Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies.

  • Partners with leadership to improve HCC, high risk scoring, with provider and coder education.

  • Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner.

  • Responsible for practitioner education in areas related to coding, documentation, and compliance.

  • Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance.

  • Reports to the Manager, Provider Revenue Operations

What you will need:
  • High school diploma or equivalent combination of education and experience

  • Certified Professional Coder or Registered Health Information Technician accreditation required.

  • Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCs modifiers. Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations.

  • 3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience.( Preferred)

  • Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.

  • Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.

  • Ability to handle patient and organizational information in a confidential manner.

  • Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Ability to use other software as required to perform the essential functions of the job.

  • Demonstrated dependability and regular attendance.

  • Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.

  • Ability to exercise independent judgment as appropriate within standard practices and procedures.

Pay rate: $ 28.00 - $43.40
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
About us:
Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties - Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services. We were named one of America's 100 Best Hospitals for 2021.
Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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