Clinical Technical Editor -- Facility Coding Expert

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.



Ingenix, a UnitedHealth Group company, is one of the largest health care information and research companies in the industry. No one competitor offers the same breadth of products and services as Ingenix. In fact, our competitors strive to copy what we have done. We offer the most comprehensive set of data, technology and analytic capabilities. The power of our products and services help customers leverage information assets, enhance clinical and financial insight, increase the quality of health care delivery and administration and improve cost management. 

 

Our Administration and Transaction Solutions department is focused on Applied Billing, adjudication, and the accurate and efficient documentation, coding, billing and transmittance of healthcare services. We’re looking for a skilled coding professional to contribute operational and reimbursement expertise to print and electronic products. This highly visible and respected role involves providing current knowledge in coding, billing and reimbursement, as well as providing strategic vision and customer service support.

 

Primary responsibilities include:

 
Interpreting inpatient and outpatient coding pertaining to all licensed inpatient and outpatient facilities in the US (ICD-9, CM, CPT, HCPCS, CCI Edits, etc.)
Writing and providing information for print products (for customers) related to coding guidelines and coding conventions, as well as government (CMS) coding regulations
Managing project timelines and meeting publication deadlines  
Conducting ongoing research to stay abreast of issues and changes related to coding and regulations
Participating in meetings with the Sr. Director of Technical Editors and the Product Manager to collaborate on how to grow product lines to meet customer needs and determine how to release products in a timely fashion ahead of the competition
Working with the editorial staff to answer questions on content and ensure copy editing meets standards while textual meaning is accurate 



Candidates must be experienced in both inpatient and outpatient coding and must also be certified in coding systems through AHIMA or AAPC. Must posses one of the following certifications: CCS, CPC, CCS-P, RHIT, RHIA. Additionally, ICD (International Classification of Diseases) certification is preferred. Experience coding in a hospital or doctor’s office is required; must include experience interpreting codes. Experience conducting presentations is also required. Strong communication and writing skills are key. Experience as a manager in a health information department or in patient financial services is preferred. Experience overseeing a quality or compliance program would also be a strong asset, as would Six Sigma experience or training. A college degree is preferred.

 

UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan. Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V.