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Optum Coding Jobs in Illinois (NOW HIRING)

Intermountain Health

PB Coding Supervisor

Springfield, IL · On-site

$34.26 - $53.96/hr

Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Skills * Medicare coding guidelines (i.e. NCCI, LCD/NCD) * CPT * HCPCS * ICD-10 * Epic/PB Resolute experience * Accuracy

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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 ...

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 Coding information

What are the key skills and qualifications needed to thrive in Optum Coding, and why are they important?

To thrive in an Optum Coding role, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and often a certification like CPC or CCS. Proficiency with electronic health records (EHR), coding software, and claims processing platforms is typically required. Attention to detail, analytical thinking, and clear communication are valuable soft skills for success in this position. These abilities help ensure accuracy in coding, regulatory compliance, and timely submission of claims within a large healthcare organization like Optum.

What are some common challenges faced by Optum Coding professionals, and how can they be addressed?

One of the common challenges in Optum Coding roles is staying current with frequent updates to coding standards and healthcare regulations, which requires ongoing education and adaptability. Additionally, coders must often decipher complex medical records and ensure precise, compliant coding to minimize claim denials or delays. These professionals work closely with healthcare providers and other team members to clarify documentation and maintain coding accuracy. Optum offers internal training, regular updates, and collaboration with other departments to help coders overcome these challenges and succeed in a dynamic healthcare environment.

What is an Optum Coding?

An Optum Coding job involves reviewing medical records and assigning standardized codes for diagnoses, procedures, and treatments to ensure accurate billing and reimbursement. Coders must follow industry guidelines such as ICD, CPT, and HCPCS while ensuring compliance with healthcare regulations. These roles are critical in maintaining proper documentation and supporting healthcare providers in optimizing revenue cycle management. Optum coders may work in various healthcare settings, including hospitals, clinics, and remote positions. Certification such as CPC or CCS is often required for these roles.

What are popular job titles related to Optum Coding jobs in Illinois? For Optum Coding jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Optum Coding jobs in Illinois look for? The top searched job categories for Optum Coding jobs in Illinois are:
Optum Coding jobs near you
Infographic showing various Optum Coding job openings in Illinois as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 9% Part Time, 1% Temporary, and 6% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution.

Business Analyst, Optum CES

Co-Sourcing Partners

Chicago, IL • On-site, Remote

Contractor

Re-posted 17 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.

Apply