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At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

An Episource MRA Coder II, your primary focus will be on coding medical services in adherence to established coding guidelines and regulations. This role requires attention to detail, knowledge of medical terminology, and a commitment to maintaining confidentiality and compliance with healthcare standards. This role necessitates collaboration with other team members within Episource to ensure the most up-to-date coding rules and regulations are adhered to.

Hours : This position is full-time (40 hours/week) Monday – Friday – 8 hours per day.

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

Primary Responsibilities:

• Review and analyze medical records, physician notes and other healthcare documents

• Assign appropriate ICD-10-CM codes to accurately reflect the patient's diagnosis and treatment

• Ensure compliance with official coding guidelines and healthcare regulations

• Maintain a minimum coding accuracy score of 95%

• Participate in internal and external audits to ensure compliance with coding standards and identify areas for improvement

• Implement corrective actions to address any identified issues

• Methodical and detail-oriented

• Strong ability to read and decipher coding guidelines

• Requires strong ability to work independently with minimum supervision, excellent reliability, positive attitude, and demonstrated ability to work timely and effectively under strict deadlines

• Requires an individual to maintain the ability to work in an environment with PHI / PII data

• May be assigned other duties

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

• Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays

• Medical Plan options along with participation in a Health Spending Account or a Health Saving account

• Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage

• 401(k) Savings Plan, Employee Stock Purchase Plan

• Education Reimbursement

• Employee Discounts

• Employee Assistance Program

• Employee Referral Bonus Program

• Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

• More information can be downloaded at: http://uhg.hr/uhgbenefits

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)

• Active AAPC CPC (Certified Professional Coder-Apprentice) Certification or AHIMA CCS (Certified Coding Specialist) Certification

• 3+ years of experience in the healthcare industry, medical coding, and Risk Adjustment

• 3+ years of experience with HCC Coding

• Intermediate level of proficiency with verbal and written communication skills, including ability to effectively communicate with internal teams

• Intermediate level of proficiency reading and interpreting medical coding rules and guidelines to make decisions (e.g., exclusions, sequencing, inclusions)

• Intermediate level of proficiency utilizing resources and reference materials (e.g., on-line sources, manuals, etc.) to identify appropriate medical codes and reference code applicability, rules, and guidelines

• Intermediate level of computer proficiency (MS Office-Word, Excel, Outlook)

Preferred Qualifications:

• AAPC CRC (Certified Risk Adjustment Coder) Certification

• Knowledge of industry standards and practices

• High level of ethics, integrity, discretion, and confidentiality

Soft Skills:

• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service

• Ability to work independently and carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices

• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, visits, encounters)

Physical Requirements:

• Must be able to sit for long periods

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting productivity standards

• Must be able to lift and carry up to 50 lbs

• Must be able to talk, listen, speak and view regularly

• <2 % of domestic travel to customer sites/plants, etc.

Training Requirements:

• Attending regular chapter meetings and/or virtual CEU training to ensure up to date coding certifications

• Company compliance program modules

• Company safety regulations

Telecommuting Requirements:

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy

• Ability to keep all company sensitive documents secure (if applicable)

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C Residents Only : The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C residents is $19.47 to $38.08 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

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.

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