Reimbursement Specialist - Telecommuter!

RESPONSIBILITIES:

• Function as a coding, billing, reimbursement, and regulatory policy subject matter expert (SME) for Optum Coding Solutions.


• Apply expertise in current coding systems (ICD-9-CM/ICD-10-CM/CPT/HCPCS), reimbursement methodologies, compliance with HIPAA requirements, and operational expertise to provide up-to-date, clear and concise content for all products.


• Maintain official sources that are a defensible source of information to support product content.


• Respond to ICD-9-CM/ICD-10-CM/CPT/HCPCS and Medicare questions/queries for internal and external customers.


• Suggest new product ideation and product enhancements in a timely manner that reflects customer needs and industry standards.


• Provide New Product SME, Clinical Technical Editor (CTE) team members, Product Managers, Sales and Marketing with information on healthcare industry changes that impact our business.

REQUIREMENTS:

• Current Medical Coding Certification (RHIT, RHIA, CPC, CCS)


• A minimum of 2 years of experience in Medical Coding


• A minimum of 2 years of Revenue Cycle experience in a facility setting


• Ability to use a PC in a Windows environment, including MS Word and Excel


• Strong understanding of CMS guidelines

DESIRED ASSETS:

• 
  
  Experience documenting business processes and regulations


• 
  
  Chargemaster experience 

Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities.

Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.

If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.