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Optum · 3 days ago
Coding Quality Analyst
Dallas, TX
Full-time
Remote
Mid Level
$23.22/hr - $45.43/hr
3+ years exp
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Insider Connection @Optum
Responsibilities
Conduct reviews on records identified as suspicious or potentially fraudulent using CPT, ICD-9/ICD 10, and HCPCs guidelines
Document decisions through notations and enter notes in appropriate systems
Discuss and present decisions to internal and external individuals/groups
Coordinate with team members to understand billing issues/coding trends
Qualification
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Required
High School Diploma / GED
Must be 18 years of age OR older
Certified Coder AHIMA (CCS, CCS-P or RHIT) or AAPC Certified coder (CPC)
3+ years of coding experience in CPT medical coding / auditing
Ability to work an 8-hour shift between 7:00AM - 6:00PM CST
Ability to train for the first two weeks between the hours of 08:00AM -4:30PM CST
Preferred
Behavioral Health experience
Experience with fraud, waste, abuse, and error.
Knowledge of CMS 1500 and UB04 data elements
Encoder Pro familiarity
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10,001+ employees
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
CEO
J
Jay Green
Chief Financial Officer
Recent News
2024-05-31
Business Journals
2024-05-27
Company data provided by crunchbase
