Get 50K Sign on Bonus! | Certified Medical Coder | Day shift!

Optum - Get 50K Sign on Bonus! | Certified Medical Coder | Day shift!

Location McKinley Hill Drive, Taguig, Metro Manila, Philippines

Job Pitch

ROLE AND RESPONSIBILITIES

  • Conducts clinical review of medical records and supporting documentation against submitted claims for; professional and facility claims to validate coding and billing accuracy, including complex and forensic reviews as needed.
  • Independently manage workload that meets or exceeds production and quality goals; ensuring reviews are completed in a timely manner.
  • Documents clinical review findings within the case tracking system; maintaining thorough, objective, consistent and high quality reviews, as required by client, CMS, department, and industry standards.
  • Interfaces with clients by telephone or correspondence to answer questions and resolve issues relative to review criteria and processes.
  • Participates in process improvement activities and encourages ownership of and group participation in improvement initiatives and opportunities for cost savings.

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life’s best work.SM

 

JOB QUALIFICATIONS

  • College Graduate 
  • Holder of AHIMA or AAPC Medical Coding Certification  (CPC-A, CPC, CIC, CCS, COC, CRC)
  • With at least 2 years of Medical Coding Experience  (Experience in coding from paper charts as well as EMR)
  • Understanding of ICD-9 or ICD-10 Coding in relation to HCC/Risk Adjustment Coding
  • Knowledge in computer navigation
  • Knowledge of claims process is a plus
  • Strong written and verbal communication skills

Job Description

WHAT WE OFFER

  • 50K Sign on Bonus
  • Hybrid Work Set-up 
  • Laptop/Computer Provided by the Company
  • Pure Non-Voice Account
  • Morning Shift and Fixed Weekends Off
  • Market Total Rewards Package
  • Retirement Plan
  • Medical Plan (HMO) from Day 1 of employment
  • Dental, Medical, and Optical Reimbursements
  • Life and Disability Insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Tuition Fee Reimbursement
  • Employee Assistance Program (EAP)
  • Annual Performance Based Merit Increases
  • Employee Recognition
  • Training and Staff Development
  • Employee Referral Program
  • Employee Volunteerism Opportunity
  • All Mandatory Statutory Benefits

 

WHO WE ARE

  • Optum is the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
  • UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
  • We’re a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
  • As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
  • We’re a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
  • Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that’s dedicated to Caring. Connecting. Growing together

Skills Required

  • Strong Communication Skills
  • Positive Attitude
  • Empathetic to Customers
  • Attention to Detail
  • Open to Flexible Schedules
  • Calm Under Pressure
  • Analytical Skills
  • Problem Solving Skills
  • Creative Thinker

Qualification Required

  • College Graduate

What this jobs offers

Optum About Optum Read more about Us

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

Being a part of Optum means working to improve health outcomes for everyone, including yourself. Here is how:

·        Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about what we offer. 

·        Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. Learn more about our culture. 

·        Growing together. Optum is full of inspiring career stories, and we offer a lifetime of opportunities. Discover all the ways you can learn, grow and develop. 

 

 

UnitedHealthcare and Optum make up UnitedHealth Group as two distinct but complementary businesses, working to build a better health system for all.  

 

Read more about Us
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