Job Title: Surgical Profee Medical Coder – National Remote
Requisition Number: 2315848
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 through technology to help millions live healthier lives. The organization emphasizes diversity, inclusion, and career development, while providing 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 documentation. The role applies knowledge of anatomy, physiology, medical terminology, and compliant coding rules including medical necessity and modifiers. The coder supports charge capture, denial management, reimbursement, and customer service while collaborating with coding, clinical, HIM, IT, and finance teams. 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 link ICD-10 diagnosis codes, procedure codes, and modifiers.
Prepare daily charge capture documents per Bassett policies.
Process pre-billing edits daily within 2 business days.
Ensure charges are posted within 4 days (Outpatient) or 7 days (Inpatient).
Denial Management
Process denials daily and ensure procedure and ICD-10 codes reflect documentation.
Customer Service
Respond to customer service inquiries and escalate recurring issues.
Communicate positively with patients and families when resolving issues.
Competencies & Compliance
Attend staff meetings.
Maintain coding certification and active membership in local AAPC chapter.
Utilize hospital coding systems (Epic EHR, MedAssets CodeCorrect, CodeRyte).
Stay updated on coding changes and reimbursement requirements.
Implement updates to departmental/site 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 in orientation, skill development, and mentoring of new coders.
Educate providers based on coding trends and conduct new provider orientation.
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 experience in Professional Services Surgery Coding (General Surgery & GI).
3+ years working with CPT, HCPCS, ICD-10 codes, anatomy, physiology, and medical terminology.
3+ years experience with coding rules/regulations including documentation, compliance, medical necessity, claim denials, bundling, and charge capture.
Telecommuting Requirements
Dedicated work area separated from living areas providing information privacy.
Secure all company sensitive documents.
High-speed internet approved by UnitedHealth Group or existing high-speed service.
Physical Requirements
Extensive work at computer station.
Compensation & Benefits
Hourly pay range: $20.00–$35.72 per hour (full-time).
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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Hajipur | Patna |Kerala :
Kannur | Kochi | Malappuram | Thiruvananthapuram | Trivandrum |Pondicherry (Puducherry) :
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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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Germany | GErmany |Lower Saxony :
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Ingelheim am Rhein | Mainz |Schleswig Holstein :
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Rostock |Saarland :
Saarbrucken |Switzerland :
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Bulgaria | Vedant |Denmark :
Copenhagen | Denmark |Europe :
Europe | France | Latvia | Lendava | Leuven | Poland | Slovenia | Spain |Finland :
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Istanbul | Turkey |Norway :
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Wavre |Tipperary :
Ballydine |Cork :
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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 :
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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 :
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Heist op den Berg |Flemish Brabant :
Zaventem |South America :
Argentina | Peru |Brazil :
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Auckland |New Zealand :
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Croatia |Zagreb :
Zagreb |Estonia :
Tartu | Estonia |Harju County (Maakond) :
Tallinn |Hà Nội :
Hà Nội | Hanoi |Ho Chi Minh :
Ho Chi Minh City |Italy :
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Rho |Jakarta :
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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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Buenos Aires |Republic of Egypt :
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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 :
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Sofia |Sweden :
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