Position Description:

United Health Care Military and Veterans is currently seeking Medical Coding Specialists. In these roles, you will be is responsible to support the DRG Validation Process in accordance with the Tricare Operations Manual. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.

Primary Responsibilities:

• The Coding Specialist accurately determines CPT and ICD-9 codes for all procedures/diagnoses  to support our DRG Validation process in accordance with the Tricare Operations Manual and Tricare Policy Manual. 
• S/he ensures that all coding assignments are accurate according to coding policies and the documentation provided in the medical chart components.  The medical record components may include the following: transcribed records, nursing notes and flow sheets, clinical records, face sheets, and test results as appropriate.
• The Coding Specialist maintains thorough knowledge of coding policies and procedures, medical terminology/technology, and any computer software
• S/he is responsible for producing various monthly reports and may provide documentation feedback to facilities under the direction of the Manager of Clinical Adherence and Appeals and VP of Utilization Management.

Requirements:

• HS Diploma or GED
• Must be a certified coder (i.e. RHIA, RHIT, CCS, CPC, etc)
• 1+ year of CPT and ICD-9 coding experience
• 1+ year of Production coding experience
• Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system application
• Capable of working in a complex, fast paced, dynamic environment that involves multiple customer types, products and evolving systems
• United States Citizenship
• Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86

Assets:

• Inpatient DRG coding experience
• Previous TRICARE experience
• Military Service
• Knowledge of or experience with Rightfax would be helpful
• Knowledge of Medical Terminology
• Hospital Coding experience

As a requirement of UnitedHealth Group’s contract with the Department of Defense, this position requires U.S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check or “NACâ€).  Successful completion of the NAC process is a requirement for continued employment in this role.  NAC processing will be initiated by our TRICARE Security Officer post-offer, and can take 3-6 months for a final decision communication from the Department of Defense.  Candidates will be allowed to begin employment with UnitedHealth Group in this role based on an interim clearance, and final results will be communicated as they are received.  Failure to obtain final NAC approval will result in termination from this role.

UnitedHealthcare Military & Veterans is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.
We serve those who serve our nation, providing quality health care services to millions of military beneficiaries across the (list region post award).

Our commitment to helping people live healthier lives, and to continue the honor, satisfaction, and quality of the TRICARE military health benefit program is greater than ever. Our efforts complement the Military Health System to demonstrate the best blend of public and private health care solutions.

It's not just business as usual. It is one of our proudest endeavors.

If you're ready to help make health care work better for those who serve our nation. If you are smart, creative, and committed. If you want to make a difference. Consider being part of the elite team at UnitedHealth care Military & Veterans.

This is an opportunity to share in something special; a chance for all of us to serve, to excel, and to know that we've made a difference for those families who have made our nation stronger.

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.

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.