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Fulltime Optum Hcc Coding Jobs in Dallas, TX (NOW HIRING)

This full-time hybrid position will support the Charge Corrections Department at our 3001 E ... Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ...

This full-time hybrid position will support the Charge Corrections Department at our 3001 E ... Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ...

Senior Coding Educator

Dallas, TX · On-site

$27 - $30.75/hr

  • Retirement

Optum Insight is improving the flow of health data and information to create a more connected ... This position is full-time, Monday - Friday. Employees are required to have flexibility to work any ...

Senior Coding Educator

Dallas, TX · Remote

$27 - $30.75/hr

  • Retirement

Optum Insight is improving the flow of health data and information to create a more connected ... This position is full-time, Monday - Friday. Employees are required to have flexibility to work any ...

Home Health Aide, CNA

Denton, TX · On-site

$14 - $23.50/hr

  • Retirement

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... The hourly pay for this role will range from $14.00 to $23.50 per hour based on full-time ...

Home Health Aide, CNA

Mckinney, TX · On-site

$14 - $23.50/hr

  • Retirement

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... The hourly pay for this role will range from $14.00 to $23.50 per hour based on full-time ...

Home Health Aide, CNA

Denton, TX · On-site

$14 - $23.50/hr

  • Retirement

As members of the Optum family of businesses, we are dedicated to helping people feel their be st ... The hourly pay for this role will range from $14.00 to $23.50 per hour based on full-time ...

Home Health Aide, CNA

Mckinney, TX · On-site

$14 - $23.50/hr

  • Retirement

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... The hourly pay for this role will range from $14.00 to $23.50 per hour based on full-time ...

Registered Nurse

Fort Worth, TX · On-site

$43.53 - $65.29/hr

  • Retirement

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

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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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For Fulltime Optum Hcc Coding jobs in Dallas, TX, the most frequently searched job titles are:

What cities near Dallas, TX are hiring for Fulltime Optum Hcc Coding jobs?

Cities near Dallas, TX with the most Fulltime Optum Hcc Coding job openings:

Full-time

Re-posted 24 days ago


US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

382nd of 888 rated healthcare providers


Job description

Overview
The US Oncology Network is looking for a Coding Analyst to join our team at Texas Oncology. This full-time hybrid position will support the Charge Corrections Department at our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 7:00a - 5:00p (flex hours).
This position will be a level 1 based on relevant candidate experience.
As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.
The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.
What does the Coding Analyst do? (including but not limited to)
Working under limited supervision, performs billing and coding activities. Assigns appropriate billing codes to patient accounts and ensures accurate and completeness of claims. This position reports to the Director of Charge Entry and Revenye Cycle Support Services. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities (including but not limited to):
  • Review requests for coding changes (including but not limited to CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing.
  • Abstract relevant clinical information from the medical record and provider documentation to assign ICD-10 and CPT/HCPCS codes in accordance with coding and reimbursement guidelines.
  • Review and correct coding errors post-claim processing/denial, ensuring accurate refiling of corrected claims to payers.
  • Use LCD/NCD policies to ensure accurate coding for the CMS region.
  • Utilize coding tools such as Optum Encoder and CMS guidelines.
  • Code with an accuracy of 95% or higher based on QA internal reviews.

Qualifications
The ideal candidate for the position will have the following background and experience:
Level 1
  • High school diploma or equivalent required.
  • Successful completion of AAPC Certified Professional Coder Exam required.
  • Minimum three years medical coding experience required.
  • Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
  • Prior oncology experience preferred.
  • Prior medical billing experience preferred.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
Work Environment:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

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