Job Title: Surgical Profee Medical Coder – National Remote
Requisition Number: 2299801
Job Category: Medical & Clinical Operations
Primary Location: Albany, NY, US (Remote considered)
Business Segment: Optum
Employee Status: Regular
Job Level: Individual Contributor
Travel: No
Overtime Status: Non-exempt
Schedule: Full-time
Shift: Day Job
Telecommuter Position: Yes
About Optum
Optum is a global organization delivering healthcare aided by technology. The team helps millions of people live healthier lives by connecting them to care, pharmacy benefits, data, and resources. Optum fosters a culture of inclusion, career development, and comprehensive benefits.
Role Summary
Under the direction of the Coding Manager, the Surgical Profee Medical Coder ensures accurate coding using ICD-9/ICD-10, CPT, and HCPCS based on medical documentation. The coder applies knowledge of anatomy, physiology, and medical terminology, along with compliant coding rules including medical necessity and modifiers. This role also provides guidance on coding trends, denial management, reimbursement, and customer service. Remote work is supported.
Primary Responsibilities
Charge Capture
Review paper or electronic charge capture documents for completeness and accuracy.
Reconcile collected charges to daily census reports or schedules.
Accurately indicate and link ICD-10 diagnosis codes, procedure codes, and modifiers.
Prepare daily charge capture documents per Bassett policies.
Process pre-billing edits within 2 business days.
Ensure charges are posted within 4 days (Outpatient) or 7 days (Inpatient).
Denial Management
Process denials daily and ensure codes reflect documentation.
Customer Service
Respond to customer service inquiries and escalate recurring issues.
Work cooperatively with patients and families when resolving service issues.
Competency & Compliance
Attend staff meetings.
Maintain coding certification and active membership in local AAPC chapter.
Utilize hospital systems and coding tools (Epic EHR, MedAssets CodeCorrect, CodeRyte).
Stay updated on coding changes and reimbursement requirements.
Implement updates to clinic sheets and charge documents.
Follow ethical coding standards (AAPC/AHIMA) and CMS/OIG guidelines.
Coding Review & Education
Conduct annual and focused coding reviews.
Assist with orientation, skill development, and mentoring of new coders.
Provide education to providers based on coding trends.
Perform additional duties as requested by supervisor or manager.
Required Qualifications
High School Diploma/GED (or higher).
Professional coder certification from AHIMA/AAPC (RHIA, RHIT, CCS, CCS-P, CPC, CPC-H) maintained annually.
3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology).
3+ years working with CPT, HCPCS, ICD-10 codes, anatomy, physiology, and medical terminology.
3+ years experience with coding rules/regulations including medical record documentation, compliance, medical necessity, claims denials, bundling, and charge capture.
Telecommuting Requirements
Dedicated work area separated from living areas providing information privacy.
Ability to keep all company sensitive documents secure.
Location must support high-speed internet approved by UnitedHealth Group.
Physical Requirements
Extensive work at a computer station.
Compensation & Benefits
Hourly pay range: $20.00–$35.72 per hour based on full-time employment.
Comprehensive benefits package, incentive programs, equity stock purchase, and 401k contributions (eligibility applies).
Compliance & Equal Opportunity
Equal employment opportunity regardless of race, religion, gender, sexual orientation, disability, or veteran status.
Drug-free workplace; pre-employment drug test required.
Gujarat :
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Kannur | Kochi | Malappuram | Thiruvananthapuram | Trivandrum |Pondicherry (Puducherry) :
Pondicherry (Puducherry) |Jharkhand :
Ranchi |Sikkim :
Rangpo |India :
Siliguri |Illinois :
Abbott Park | Bloomingdale | Champaign | Chicago | Deerfield | Glenview | Lake Forest | Lombard | Naperville | Norridge | Park RIdge | Round Lake |Maryland :
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Anchorage | Barrow | Bethel | Juneau | Sitka | Wrangell |Massachusetts :
Andover | Billerica | Boston | Cambridge | Devens | Lexington | Massachusetts | Medford and Somerville | Rockland |Wisconsin :
Appleton | Kenosha | Pleasant Prairie | Portage | Waukesha |United states :
Arizona | Buffalo Grove | Clayton | Downers Grove | fairmont | Georgia | Keene | Michigan | Mt. Pleasant | New Jersy | OH | Piedmont | Salisbury | United States | Whitesboro | Winston-Salem |Georgia :
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Frank Scottile Blvd |Missouri :
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Tuscaloosa |D.C :
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Bayreuth | Erlangen | Munich | Regensburg | Wurzburg |Brandenburg :
Berlin |Baden-Wurttemberg :
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Frankfurt | Harveysburg |Germany :
Germany | GErmany |Lower Saxony :
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Ingelheim am Rhein | Mainz |Schleswig Holstein :
Kiel |Berlin :
Mitte |Mecklenburg Vorpommern :
Rostock |Saarland :
Saarbrucken |Switzerland :
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Bulgaria | Vedant |Denmark :
Copenhagen | Denmark |Europe :
Europe | France | Latvia | Lendava | Leuven | Poland | Slovenia | Spain |Finland :
Finland |Istanbul :
Istanbul | Turkey |Norway :
Norway | NOrway |Romania :
Romania |Belgium :
Wavre |Tipperary :
Ballydine |Cork :
Brinny | Ringaskiddy |Carlow :
Carlow |Republic of Ireland :
Cork | Dublin | Limerick | Waterford |Ulster :
Donegal |Meath :
Dunboyne |Dún Laoghaire :
Dún Laoghaire |Galway :
Galway |County Dublin :
Swords |Republic of China :
Beijing |China :
China | Quarry Bay |Liaoning :
Dalian |Zhejiang :
Hangzhou |Tokiyo :
Osaka | Tokyo |Shanghai Sai :
Shanghai Shi |Hubei :
Wuhan |Capital of Netherland :
Amsterdam |North Brabant :
Breda |Noord Holland :
Haarlem |South Holland :
Leiden |Netherlands :
Netherlands |Remote Australia :
Arkansas | Remote Australia |New South Wales :
Ballina | Sydney |Republic of Western Australia :
Nedlands |Queensland :
Queensland |Melbourne :
South Yarra |United Kingdom :
England | Harlow | Leeds | London | Maidenhead | Salt Lake City | Stevenage | Stirling | United Kingdom |North Yorkshire :
Harrogate |South Yorkshire :
Sheffield |Oxfordshire :
Witney |Ontario :
Australia | Richmond Hill | Mississauga | Renfrew | North York | Uxbridge |Canada :
Canada |Quebec :
Montreal |Brussels :
Brussels |Antwerp :
Heist op den Berg |Flemish Brabant :
Zaventem |South America :
Argentina | Peru |Brazil :
Brazil | Sao paulo |Attica :
Athens | Koropi |Greece :
Greece |North Island :
Auckland |New Zealand :
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Barcelona |Madrid :
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Manila |Croatia :
Croatia |Zagreb :
Zagreb |Estonia :
Tartu | Estonia |Harju County (Maakond) :
Tallinn |Hà Nội :
Hà Nội | Hanoi |Ho Chi Minh :
Ho Chi Minh City |Italy :
Italy |Lombardy :
Rho |Jakarta :
Jakarta |East Java :
Surabaya |Japan :
Saitama | Japan |Tokyo :
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Remote Korea |Republic of Korea :
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Remote - South America (Latin Americal) | Faridabad | Springville | Manipal | Remote - Europe | Thailand | McFarland | Xzagreb | Leinster | Green Way | Castlebar | Zaragoza | Nairobi | Bishop | Remote - Middle East | Remote | Lenexa | Tulsa | Bountiful | Victoria | Remote, USA | Texas | Hungary | Ireland | Medan | Switzerland | Remote - Africa | Riga | Slovakia | Lousiana | Belgium | Minnesota | French | Melbourne | Hammond | Blue Bell |Republic of Colombia :
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Brentwood |Bucharest :
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Buenos Aires |Republic of Egypt :
Cairo |Mexico :
New Mexico | Ciudad de México |Dubai :
Dubai |Makkah :
Najran | Khulais | Rabigh | King Abdullah Economic City | Riyadh | Jeddah |Kuala Lumpur :
Kuala Lumpur |Kyiv Oblast :
Kyiv |Lima Region :
Lima |France :
Paris | Lyon |South Africa :
Midrand | South Africa |Nišava District :
Niš |Bohemia :
Prague |Chile :
Santiago |Bosnia and Herzegovina :
Sarajevo |Singapore :
Singapore |Sofia City :
Sofia |Sweden :
Sweden |Taipei :
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Warsaw |