Optum
Coding & Reimbursement Specialist I - Kelsey Seybold Clinic - Pearland Business Office - Remote
Be an Early Applicant
Assist with basic medical coding and claim reviews under supervision using CPT, ICD-10, and HCPCS. Support denial research and simple appeals, learn payer guidelines and billing workflows, perform data entry and EOB review, and collaborate with senior staff to ensure accurate reimbursement.
Requisition Number: 2367549
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Supports the coding and reimbursement process by assisting with basic coding tasks and claim reviews under supervision. Applies foundational knowledge of CPT, ICD-10, and HCPCS codes to ensure initial coding accuracy. Works with senior staff to understand denial reasons and assist in preparing simple, low dollar appeals. Gains exposure to payer guidelines, medical billing workflows, and coding systems while developing professional competency.
If you are located near Pearland, TX, you will have the flexibility to work remotely* as you take on some tough challenges
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:
Preferred Qualifications:
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Supports the coding and reimbursement process by assisting with basic coding tasks and claim reviews under supervision. Applies foundational knowledge of CPT, ICD-10, and HCPCS codes to ensure initial coding accuracy. Works with senior staff to understand denial reasons and assist in preparing simple, low dollar appeals. Gains exposure to payer guidelines, medical billing workflows, and coding systems while developing professional competency.
If you are located near Pearland, TX, you will have the flexibility to work remotely* as you take on some tough challenges
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:
- Medical Billing and Coding Certification
- Certified Professional Coder - Apprentice (CPC-A)
- 1+ years of experience in healthcare billing, coding, or collections
- Exposure to CPT, ICD-10, and HCPCS coding through coursework, internship or revenue cycle work experience
- Basic understanding of Explanation of Benefits (EOBs), Microsoft Office, and data entry. Strong attention to detail and willingness to learn
- Proven ability to follow instructions, meet deadlines, and work in a team environment. Demonstrates dependability and eagerness to grow professionally
Preferred Qualifications:
- Associate degree in Business Administration or related field
- Certified Professional Coder (CPC) or
- Certified Coding Specialist (CCS) or
- Certified Coding Specialist-Physician Based (CCS-P) or Certified Coding Associate (CCA) or Certified Medical Coder (CMC)
- 1+ years of experience in a healthcare setting
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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