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Optum Coding Jobs in Illinois (NOW HIRING)

UnitedHealth Group

Quality Engineer

Schaumburg, IL · Remote

$70K - $91K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Review automated test code to ensure adherence to coding standards and best practices

New

UnitedHealth Group

Quality Engineer

Schaumburg, IL · On-site

$70K - $91K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Review automated test code to ensure adherence to coding standards and best practices

New

UnitedHealth Group

Sr Software Engineer(UI)

Schaumburg, IL · Remote

$127K - $159K/yr

... code using frontend technologies, collaborating closely with designers, product managers, and backend engineers at Optum to ensure seamless interactions and data flow. Day-to-day tasks include ...

New

UnitedHealth Group

Sr Software Engineer(UI)

Schaumburg, IL · On-site

$127K - $159K/yr

... code using front-end technologies, collaborating closely with designers, product managers, and backend engineers at Optum to ensure seamless interactions and data flow. Day-to-day tasks include ...

New

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 ...

UnitedHealth Group

Senior Software Engineer

Chicago, IL · On-site

$91K - $163K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Write clean, testable code with JUnit/Testcontainers, Jasmine/Jest, and Cypress/Playwright for E2E

UnitedHealth Group

Senior Software Engineer

Chicago, IL · Remote

$91K - $163K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Write clean, testable code with JUnit/Testcontainers, Jasmine/Jest, and Cypress/Playwright for E2E

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Optum Coding information

What are the key skills and qualifications needed to thrive in the Optum Coding position, 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.

Are medical coders still in demand?

Medical coders, including those working in roles like Optum Coding, are in steady demand due to ongoing healthcare industry needs for accurate billing and record-keeping. The profession requires knowledge of coding systems such as ICD-10 and CPT, and certifications can enhance job prospects as healthcare organizations continue to prioritize compliance and efficiency.

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 Medical Coder gets paid the most?

Senior or Certified Medical Coders, such as Certified Professional Coders (CPC) or Certified Coding Specialists (CCS), tend to earn the highest salaries in medical coding roles. Experience, specialization in areas like inpatient or outpatient coding, and working in larger healthcare organizations or hospitals can also increase earning potential.

What is an Optum Coding job?

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 is an Optum HCC coder job description?

An Optum HCC coder is responsible for reviewing and accurately coding patient medical records using Hierarchical Condition Category (HCC) models to ensure proper risk adjustment and reimbursement. They typically analyze clinical documentation, assign appropriate codes, and may use coding software, requiring knowledge of medical terminology, coding guidelines, and relevant certifications such as CPC or CCS. The role often involves remote work and adherence to compliance standards within healthcare coding environments.

Will a Medical Coder be replaced by AI?

Medical coders, including those working for companies like Optum, perform complex tasks that require understanding medical records and applying coding standards. While AI and automation tools are increasingly used to assist with routine coding, human oversight remains essential to ensure accuracy and handle complex cases, so complete replacement is unlikely in the near term.
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Optum Coding jobs near you
Infographic showing various Optum Coding job openings in Illinois as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 87% Full Time, 8% Part Time, 1% Temporary, and 2% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution.
Business Analyst, Optum CES

Business Analyst, Optum CES

Co-Sourcing Partners

Chicago, IL • On-site, Remote

Contractor

Re-posted 26 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