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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Assists the manager or director in supervising a remote team of edit coders that supports multiple Optum clients
- Monitor, assess, and assist with the performance and day to day activities of up to 25 remote employees, not limited to time keeping, attendance, and productivity
- Work with HR, IT Provisioning team, and coding manager/director in all aspects of on-boarding new employees
- Perform auditing functions
- Coordinate the team to cover edit and denial work queues
- Work with Billing Managers and Supervisors to troubleshoot and streamline processes for the edits team
- Serve as primary point of contact to the hospitals to provide coverage and systems access where needed
- Assist with setting team direction and provide guidance to coding staff
- Work closely with manager/director in managing day to day operations
- Work in partnership with the clients and corporate leadership to uphold the values-based competencies of the corporation
- Monitor and track coding employees' performance trends and processes and use this data to educate the team to improve coding quality
- All other duties as assigned
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:
- High School degree/GED
- Current Professional Coding Certification with credentialing from AHIMA or APPC (CCS, CIC, COC, OR CPC) to be maintained annually
- 5+ years of experience with ICD-10
- 5+ years of experience CPT
- 3+ years of Acute coding experience
- 3+ years of experience in management of remote employees
- 3+ years of experience with an extensive knowledge of OCE, MUE, NCD, LCD, CCI and NCCI classification and reimbursement structures
- 3+ years of experience working in a level I trauma center and/or teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding.
- 1+ years of experience working with EMR and Encoder software
- Intermediate level of proficiency using a PC in a Windows environment, including MS Office Suite and EMR systems
- Ability to work during normal business hours, travel will be minimal to none, but may require onsite training in rare situations
Preferred Qualifications:
- Bachelor's degree or higher
- 2+ years of ambulatory coding experience
- Knowledge of eCAC, Cerner Powerchart and Medseries4 billing system, Epic
- Cardiology and Interventional Radiology coding experience
*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 $60,200 - $107,400 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
Skills Required
- High School degree or GED
- Current professional coding certification from AHIMA or APPC (CCS, CIC, COC, or CPC) maintained annually
- 5+ years of experience with ICD-10
- 5+ years of experience with CPT
- 3+ years of acute coding experience
- 3+ years of experience managing remote employees
- 3+ years of experience with OCE, MUE, NCD, LCD, CCI and NCCI classification and reimbursement structures
- 3+ years working in a Level I trauma center and/or teaching hospital with mastery of complex procedures and major trauma cases
- 1+ years of experience working with EMR and encoder software
- Intermediate proficiency using a PC in a Windows environment, including MS Office Suite and EMR systems
- Ability to work normal business hours; travel minimal to none but may require onsite training in rare situations
- Perform auditing functions and coordinate edit and denial work queues
Optum Compensation & Benefits Highlights
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Healthcare Strength — Health coverage offers copay and HSA medical options with dental, vision, company‑paid life and disability, and free or low‑cost virtual visits. Feedback suggests the offering is comprehensive and competitive on paper.
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Parental & Family Support — Time off and family supports include PTO, eight paid holidays plus a floating day, six weeks paid parental leave, up to two weeks paid caregiver leave, Bright Horizons back‑up care, and adoption assistance up to $10,000. Feedback suggests these resources are meaningful for caregivers and family needs.
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Retirement Support — Savings programs include a 401(k) with employer match (after one year, vesting after two) and a 10%‑discount Employee Stock Purchase Plan. These programs bolster long‑term financial security when combined with other savings resources.
Optum Insights
What We Do
Optum, part of the UnitedHealth Group family of businesses, 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. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Optum Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.