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Coding Product Specialist / Outpatient -telecommute

UnitedHealth Group

Reston, VA
Job Code:
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Job Details

Coding Product Specialist / Outpatient -telecommute(Job Number:729737)

Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.(sm)


Primary Responsibilities:

  • Function as a coding, billing, reimbursement, and regulatory policy subject matter expert (SME) for Optum360 Content Solutions
  • Apply expertise in current coding systems (ICD - 10 - CM / CPT / HCPCS), CCI edits, reimbursement methodologies for example relative value units (RVUs) and Medicare fee data, workers’ compensation fee schedules, quality measures (physician quality payment program, MIPPS), compliance with HIPAA requirements, and operational expertise to provide up - to - date, clear and concise content for all products
  • Apply expertise in CPT, HCPCS and ICD - 10 - CM code sets specific to physician specialty specialties, radiology and interventional radiology
  • Apply expertise in risk adjustment coding and HCCs
  • Maintain official sources that are a defensible source of information to support product content
  • Respond to ICD - 10 - CM / CPT / HCPCS and Medicare questions/queries for internal and external customers
  • Suggest new product ideation and product enhancements that reflects customer needs and industry standards
  • Discuss and promote new product ideas with New Product SME, Product Managers and provide input as needed i.e. product design / presentation
  • Work closely with both internal and external customers to deliver the highest level of customer service
  • Deliver high quality content, on time and within budget. Responsible for working within project guidelines (SOW), leading projects or working collaboratively as a Tech 1 or 2, and meeting schedule deadlines (standard 100%) while maintaining the accuracy and integrity of the content (accuracy standard 97%)
  • Demonstrate ability to perform work in a team environment, both as a peer in a Tech 1 & Tech 2 partnership and as a lead CTE as necessary
  • Demonstrate the ability to multitask and toggle between multiple projects


Job Product Development & Mgmt
Primary Location US-VA-Reston
Other Location 
Organization O360 Rev Cycle Technology
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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