Prepay Coding Consultant
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Eden Prairie, MN · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Eden Prairie, MN · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Eden Prairie, MN · On-site
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Eden Prairie, MN · On-site
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Eagan, MN · On-site
$90K - $120K/yr
Optum CES (Claims Edit System) experience * 5+ years of medical coding experience in lieu of Information technology experience. * FACETS platform experience. * Ability to communicate complex topics ...
Eagan, MN · On-site
$90K - $120K/yr
Optum CES (Claims Edit System) experience * 5+ years of medical coding experience in lieu of Information technology experience. * FACETS platform experience. * Ability to communicate complex topics ...
Boston, MA · On-site
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Boston, MA · On-site
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Eagan, MN · On-site
$90K - $120K/yr
Optum CES (Claims Edit System) experience * 5+ years of medical coding experience in lieu of Information technology experience. * FACETS platform experience. * Ability to communicate complex topics ...
Eagan, MN · On-site
$90K - $120K/yr
Optum CES (Claims Edit System) experience * 5+ years of medical coding experience in lieu of Information technology experience. * FACETS platform experience. * Ability to communicate complex topics ...
At the start of each day, review your virtual and coding worklists in Optum to prioritize work. * Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated ...
At the start of each day, review your virtual and coding worklists in Optum to prioritize work. * Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Medical record coding experience with experience in Evaluation and Management Services in the ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Medical record coding experience with experience in Evaluation and Management Services in the ...
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
East Haven, CT · On-site
$18.75 - $25/hr
... of medical coding services, recognized in KLAS and Black Book Market Research surveys for ... Experience with EPIC & Optum CAC preferred * Quality Standards: A demonstrated track record of ...
Quick apply
East Haven, CT · On-site
$18.75 - $25/hr
... of medical coding services, recognized in KLAS and Black Book Market Research surveys for ... Experience with EPIC & Optum CAC preferred * Quality Standards: A demonstrated track record of ...
Columbia, SC · On-site +1
Optum Encoder, Other medical coding software platforms • 3+ years of clinical experience in a healthcare environment • Strong clinical assessment and critical-thinking skills • Experience ...
Columbia, SC · On-site +1
Optum Encoder, Other medical coding software platforms • 3+ years of clinical experience in a healthcare environment • Strong clinical assessment and critical-thinking skills • Experience ...
$37.40 - $61.71/hr
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
$37.40 - $61.71/hr
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
Owensboro, KY · Remote
$20 - $36/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Generates coding queries for clarification regarding physician documentation as needed * Stays ...
Owensboro, KY · Remote
$20 - $36/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Generates coding queries for clarification regarding physician documentation as needed * Stays ...
Owensboro, KY · On-site
$20 - $36/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Generates coding queries for clarification regarding physician documentation as needed * Stays ...
Owensboro, KY · On-site
$20 - $36/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Generates coding queries for clarification regarding physician documentation as needed * Stays ...
Chicago, IL · Remote
$37.40 - $61.71/hr
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
Chicago, IL · Remote
$37.40 - $61.71/hr
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
Columbia, SC · On-site
$70K - $93K/yr
... Optum Encoder and/or other medical coding software programs
Columbia, SC · On-site
$70K - $93K/yr
... Optum Encoder and/or other medical coding software programs
Richardson, TX · On-site
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Richardson, TX · On-site
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Chicago, IL · Remote
$37.40 - $61.71/hr
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
Chicago, IL · Remote
$37.40 - $61.71/hr
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
You'll focus on the critical task of inpatient record abstraction and precise medical coding ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...
$15.38 - $17.44
4% of jobs
$17.44 - $19.49
10% of jobs
$19.49 - $21.55
11% of jobs
$21.60 is the 25th percentile. Wages below this are outliers.
$21.55 - $23.60
22% of jobs
The median wage is $24.16 / hr.
$23.60 - $25.66
12% of jobs
$25.66 - $27.71
11% of jobs
$28.84 is the 75th percentile. Wages above this are outliers.
$27.71 - $29.76
11% of jobs
$29.76 - $31.82
10% of jobs
$31.82 - $33.87
5% of jobs
$33.87 - $35.93
3% of jobs
$35.93 - $37.98
2% of jobs
$15
$26
$37
An Optum Medical Coding job involves reviewing medical records and assigning standardized codes for diagnoses, procedures, and treatments. These codes are used for billing, insurance claims, and healthcare data analysis. Coders must follow industry regulations, such as ICD-10, CPT, and HCPCS coding systems. Accuracy and compliance are crucial to ensure proper reimbursement and minimize claim denials. Optum medical coders may work remotely or in healthcare facilities, collaborating with providers and billing teams.
To thrive as an Optum Medical Coding specialist, you need a solid understanding of medical terminology, anatomy, and ICD-10-CM, CPT, or HCPCS coding systems, often supported by a relevant certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems and medical billing software is essential for accurately capturing and processing patient data. Attention to detail, analytical thinking, and strong communication skills help ensure precise code assignment and effective collaboration with healthcare providers. These competencies are crucial to ensure claims are accurate, compliant, and processed efficiently, supporting optimal billing outcomes and healthcare operations.
As an Optum Medical Coding professional, your daily responsibilities involve reviewing clinical documentation, accurately assigning appropriate medical codes for diagnoses and procedures, and ensuring that billing submissions comply with regulatory requirements. You may regularly communicate with physicians or clinical staff to clarify documentation or resolve discrepancies. Additionally, coders often participate in audits, ongoing education, and quality assurance checks to maintain high standards of coding accuracy. The role typically involves working with a supportive team of other coders, billing specialists, and healthcare professionals, often in a remote or office-based setting.

Full-time
Retirement
Re-posted 29 days ago
7.6
Based on 146 frontline employees who took The Breakroom Quiz
186th of 890 rated healthcare providers
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.
This position is full-time, Monday - Friday. Employees are required to work our normal business. It may be necessary, given business need, to work occasionally overtime or weekends.
We offer weeks of paid on-the-job training. The hours during training will be 8:00am to 5:00pm CST, Monday - Friday. Training will be conducted virtually from your home.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
Soft Skills:
*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 $24 to $43 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.
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Insurance services
10,000+ Employees
Minnetonka, MN, US
1977