Surest - Formally Bind - Senior Medical Coder - Telecommute

Surest, a UnitedHealthcare Company, (formerly Bind) provides a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and help us design and deliver a cutting-edge health benefit that changes the face of health care.

Sr. Medical Coder plays a key role in partnering with Benefit Products, Clinical and Operations subject matter experts to ensure use and adoption of appropriate coding standards through the development, implementation, and administration of the Surest, a UnitedHealthcare Company, (formerly Bind) benefit coverage specifications.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Participate in development and maintenance of code sets across Surest capabilities
• Create and maintain coverage specifications for Surest (formerly Bind) plan designs. Partner with Benefit Products, Clinical and Operations to develop and maintain program/solution documentation and specifications
• Serve as a resource regarding coding questions and interpretation of standards; provide support on use of codes and changes to coding standards as needed
• Review Surest benefit plan for accuracy and completeness of codes, ensuring all codes are current and active. Conduct regular review of benefit plan codes to maintain compliance with standards
• Document best practices and new processes focused on medical coding as it relates to coverage design

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 Qualification:

• Bachelor's Degree or equivalent years of coding experience
• Medical Coding Certificate; CPC by AAPC or AHIMA license
• 3+ years business/operations experience in a health plan environment and familiarity with commercial plan design
• Advanced Microsoft Excel

Preferred Qualifications:

• Experience assisting in the plan build/plan configuration of claim adjudication platform
• Experience in the application of medical and reimbursement policies within the claims adjudication process
• Working knowledge of coding within benefit and claim adjudication
• Familiarity with commercial health plan design
• Accurate and precise attention to detail
• Analytical skills, demonstrated ability to problem solve
• Clear, concise, engaging and effective written and oral communication
• Willingness and ability to be both an individual contributor and a team player

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The hourly range for Colorado residents is $26.15 to $46.63. The hourly range for Connecticut / Nevada residents is $28.85 to $51.30. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.