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Optum Coder Jobs in Illinois (NOW HIRING)

UnitedHealth Group

Lead AI/ML Engineer - Remote

Schaumburg, IL · On-site +1

$100K - $132K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Drive modern engineering practices across teams, including automation-first development, code reuse ...

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Optum Coder information

See Illinois salary details

$15

$26

$42

How much do optum coder jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for optum coder in Illinois is $26.64, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $33.56 per hour, depending on experience, location, and employer.

What is the difference between Optum Coder vs Medical Coder?

AspectOptum CoderMedical Coder
CertificationsAHIMA or AAPC certifications (CPC, CCS)AHIMA or AAPC certifications (CPC, CCS)
Work EnvironmentHealthcare organizations, insurance companies, consulting firmsHospitals, clinics, physician offices, insurance companies
Industry UsageUsed across healthcare and insurance sectorsPrimarily in healthcare facilities and billing services

Optum Coders and Medical Coders share similar certifications and work environments, often overlapping in healthcare and insurance settings. While Optum Coders may work specifically within Optum's healthcare services, Medical Coders are employed broadly across various healthcare providers. Both roles require similar skills and certifications, making them closely related but distinct in employer and specific job functions.

What are popular job titles related to Optum Coder jobs in Illinois? For Optum Coder jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Optum Coder jobs in Illinois look for? The top searched job categories for Optum Coder jobs in Illinois are:
What cities in Illinois are hiring for Optum Coder jobs? Cities in Illinois with the most Optum Coder job openings:
Optum Coder jobs near you
Infographic showing various Optum Coder job openings in Illinois as of August 2026, with employment types broken down into 91% Full Time, 8% Part Time, and 1% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $55,411 per year, or $26.6 per hour.

Business Analyst, Optum CES

Co-Sourcing Partners

Chicago, IL • On-site, Remote

Contractor

Re-posted 21 days ago

Job description

Business Analyst, Optum CES
Location: Remote
Employment Type: 1 month contract with possibility of extension
We are seeking a seasoned Business Analyst with deep expertise in Optum Claims Editing System (CES) and integration experience with Epic Tapestry. This individual will be responsible for driving CES configuration, edit implementation, and system alignment with Epic denial codes and benefit configurations. The role demands cross-functional collaboration, system analysis, and execution oversight to enhance claims adjudication workflows and ensure alignment with payer strategies.
Key Responsibilities:
  • Collaborate with stakeholders including business leaders, claims operations, IT teams, and vendors to guide the end-to-end implementation of Optum CES.
  • Analyze and document business requirements related to claims editing rules, benefit configuration, and adjudication logic.
  • Design and validate system edits (e.g., age edits, duplicate logic, modifier rules) to ensure compliance with regulatory and payer-specific policies.
  • Map and reconcile EDI transactions (837/835) with Epic Tapestry records to ensure accurate CES integration.
  • Partner with configuration analysts to ensure benefit structures and payment policies align with claims editing logic.
  • Lead and support functional testing, UAT, and defect resolution for CES edits and Epic denial workflows.
  • Monitor project timelines, milestones, risks, and cross-functional dependencies to ensure on-time delivery.
  • Identify and recommend process improvements to reduce manual intervention and enhance claims accuracy and provider experience.

Required Skills & Experience:
  • Minimum 5 years of experience as a Business Analyst in healthcare IT, with hands-on implementation of Optum CES.
  • Stong understanding of PPS reimbursement within the claims processing cycle.
  • Experience with Epic Tapestry strongly preferred.
  • Proficiency in claims editing systems, claims adjudication logic, and healthcare EDI standards (837/835).
  • Demonstrated ability to lead cross-functional initiatives involving technical and business teams.
  • Strong written and verbal communication skills, with the ability to translate complex technical details into business-friendly language.
  • Exceptional organizational skills and a track record of managing high-impact healthcare IT projects.

CoSourcing Partners is an equal opportunity employer committed to fostering an inclusive and diverse workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other protected status under applicable federal, state, or local laws.
We believe in creating a work environment where all employees feel valued, respected, and empowered to contribute to our success. Accommodations are available upon request for applicants with disabilities throughout the hiring process.
Join us and be part of a team that values diversity, equity, and inclusion.

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