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Optum Billing Jobs in Alabama (NOW HIRING)

DCH Health System

Insurance Specialist

Tuscaloosa, AL · On-site

Reviews and follows-up for claims processing/collection on all assigned billed insurance claims on a daily basis using Meditech, Optum, payer websites, and other software programs utilized in the ...

DCH Health System

Insurance Specialist

Tuscaloosa, AL · On-site

Reviews and follows-up for claims processing/collection on all assigned billed insurance claims on a daily basis using Meditech, Optum, payer websites, and other software programs utilized in the ...

DCH Health System

Insurance Specialist

Tuscaloosa, AL · On-site

Responsibilities Reviews and follows-up for claims processing/collection on all assigned billed insurance claims on a daily basis using Meditech, Optum, payer websites, and other software programs ...

DCH Health System

Insurance Specialist

Tuscaloosa, AL · On-site

Reviews and follows-up for claims processing/collection on all assigned billed insurance claims on a daily basis using Meditech, Optum, payer websites, and other software programs utilized in the ...

Stryker

$35/hr

... billing/clinical data * Prepare literature review summaries and evidence syntheses to support ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

... billing/clinical data * Prepare literature review summaries and evidence syntheses to support ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

Stryker

$35/hr

... billing/clinical data * Prepare literature review summaries and evidence syntheses to support ... Prior exposure to claims databases (Medicare, MarketScan, Premier PINC AI, Optum) or EHR data ...

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Optum Billing information

What is the difference between Optum Billing vs Medical Billing Specialist?

AspectOptum BillingMedical Billing Specialist
CredentialsTypically requires knowledge of healthcare billing, insurance, and coding; certifications like CPC or CPC-H are commonSimilar credentials; often CPC certification preferred
Work EnvironmentWorks within healthcare organizations, insurance companies, or third-party billing servicesWorks in healthcare offices, billing companies, or remotely
Industry UsagePrimarily in healthcare and insurance sectors, especially within Optum or UnitedHealth GroupWidely used across healthcare providers, clinics, and billing firms

Optum Billing and Medical Billing Specialist roles share similar credentials and work environments, focusing on healthcare billing processes. However, Optum Billing often involves working within larger healthcare organizations or insurance companies like Optum, while Medical Billing Specialists may work more broadly across various healthcare providers. Both roles require strong knowledge of coding, insurance claims, and billing procedures, making them closely related in the healthcare industry.

Does Optum Billing give work from home?

Optum Billing positions often offer remote work options, especially for roles involving administrative and billing tasks. However, availability of work-from-home arrangements can vary by position and location, and some roles may require on-site presence or hybrid schedules. Candidates should review specific job postings for remote work details and requirements.

Is it hard to get a job as an Optum Billing?

Getting a job as an Optum Billing specialist typically requires relevant healthcare or billing experience, strong attention to detail, and knowledge of billing software. The hiring process can vary but generally involves submitting an application, passing assessments, and completing interviews; some roles may also require certifications such as CPC or equivalent.

What are popular job titles related to Optum Billing jobs in Alabama?

For Optum Billing jobs in Alabama, the most frequently searched job titles are:

What job categories do people searching Optum Billing jobs in Alabama look for?

The top searched job categories for Optum Billing jobs in Alabama are:

What cities in Alabama are hiring for Optum Billing jobs?

Cities in Alabama with the most Optum Billing job openings:

Optum Billing jobs near you
Infographic showing various Optum Billing job openings in Alabama as of August 2026, with employment types broken down into 2% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution.

Outpatient Facility Coding Compliance Auditor

UnitedHealth Group

Montgomery, AL • On-site

Full-time

Retirement

Re-posted 13 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

193rd of 898 rated healthcare providers

Job description

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards while effectively communicating findings to stakeholders. The Auditor also analyzes audit outcomes to identify trends, determine root causes, and pinpoint opportunities for improvement, as well as assess the effectiveness of corrective actions. Additionally, as part of the Compliance Workplan the Auditor participates in quality assurance (QA) coding oversight, conducts independent reviews, and supports organizational compliance initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Perform coding compliance and quality audits in support of Optum Insight Provider's Compliance Program and client expectations
  • Independently analyze and interpret clinical documentation from medical records
  • Validate coding accuracy for outpatient facility, including E/M services, procedures, and modifiers
  • Identify audit findings, calculate billing error rates, and perform root cause analysis to determine drivers of non-compliance
  • Assess and evaluate the adequacy and effectiveness of corrective action plans, providing follow-up validation as appropriate
  • Clearly document audit findings and articulate results tailored to the appropriate audience
  • Prepare written audit analysis and summary reports, including compliance risk, trends, and recommended corrective actions
  • Conduct ad hoc coding and billing audits as requested
  • Provide compliance oversight of QA audit activities, ensuring consistency and adherence to established standards
  • Audit vendor coders and auditors, including offshore staff
  • Monitor and track evolving industry trends, regulatory updates, and government audit activities to identify potential coding and billing risk areas
  • Stay current with applicable coding, billing, and regulatory guidelines
  • Research, develop, and present targeted education based on individual, team, and systemic audit findings

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 Qualifications:
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC)
  • 5+ years of Outpatient Facility coding experience including:
    • NCCI/OCE billing edits related to outpatient services coding and billing
    • ICD-10-CM and CPT (including CPT-4)
    • ACEP Facility or similar Facility E/M matrix guidelines for outpatient facility code assignment
  • 5+ years of Outpatient Facility audit experience, including surgery, observation, and emergency department, including: (Strong industry knowledge of Medicare regulations and payment policies, including OPPS)

Preferred Qualifications:
  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Medical Auditor (CPMA) a plus
  • Demonstrated ability to perform independent, autonomous audit and coding review functions
  • Strong professional communication skills, both oral and written
  • Ability to prioritize and manage multiple assignments, spreadsheets, documents, and reports
  • Proven time management skills with consistent follow-through to completion
  • Proficiency with Microsoft Excel, Teams, PowerPoint, Word, and Outlook

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,00 0 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

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