Optum Encoder Jobs in Virginia (NOW HIRING)

Job Description:

The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines.

Essential Functions

• Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic.

• Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.

• Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes.

• Appropriately escalates coding/denial trends and provider education opportunities.

• Navigates Epic EMR, including applicable reports and work queues

• Communicates with providers via Epic in-basket message and email per departmental guidelines.

• Adheres to departmental protocols.

• Utilizes organizational and departmental tools as applicable (i.e. Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.).

• Meets or exceeds productivity standards.

• Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintain credentials.

Skills

• Medicare coding guidelines (i.e. NCCI, LCD/NCD)

• CPT

• HCPCS

• ICD-10

• Epic/PB Resolute experience

• Accuracy

• Detail oriented

• Collaborative

• Communication

Qualifications

Required

• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)

• Demonstrated experience in professional fee coding including Evaluation & Management (E/M) services and coding for the specific specialty service line

• Demonstrated proficiency utilizing Microsoft office tools.

• Demonstrated comprehensive knowledge of physician billing, healthcare revenue cycle.

Preferred

• High school diploma or equivalent

• Related specialty credential through AAPC or AHIMA

• Two (2) years of professional fee coding experience in the related specialty

• Prior Epic experience

Physical Requirements

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

• May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts.

• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Lake Park Building

Work City:

West Valley City

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$28.06 - $44.20

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.