Certified Inpatient Coder with Utilization or Denial Management Experience

ROLE AND

RESPONSIBILITIES

The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals Coder/CV Nurse will complete their case within the time expectations while providing high quality reviews. The Appeals nurse will perform their job functions, adhering to both Optum and OPAS policies and procedure. 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.JOB

QUALIFICATIONS

Medical Allied graduate with active license

Active medical coding certification such as CPC, CCS, COC, CIC, or CRCAt least 3 years of medical coding experience; inpatient coding experience is highly preferred

• Experience in clinical appeals, utilization management, or denial management is an advantage
• Willing to work on a hybrid set-up in any of our sites (Makati, Alabang, Quezon City)

WHAT WE OFFER

Fixed Weekends OffPure Non-Voice Account

Market Competitive Pay Levels

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 AREOptum is the health care technology and innovation company of the United
• Health Group enterprise along with United

Healthcare. United

Health 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. 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