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.
Optum is seeking a highly skilled, experienced and knowledgeable ED (Ambulatory and Acute) Coding Trainer to lead training initiatives for coding professionals. The ideal candidate will be responsible for training and mentoring coding staff in accurate and compliant emergency department coding practices, ensuring adherence to current guidelines, payer-specific requirements, and regulatory standards.
Primary Responsibilities:
- Create and deliver comprehensive training programs for outpatient coding professionals, covering CPT, ICD-10-CM, HCPCS, NCCI edits, and payer-specific guidelines
- Stay conversant with changes in coding guidelines (CMS, AMA, AHA, ACEP guidelines) and integrate them into training materials and team communication
- Prepare training content, SOPs, reference guides, and maintain accurate training records
- Provide one-on-one coaching and group instruction on CPT, ICD-10-CM, and HCPCS coding for emergency services
- Responsible for new transitions, tracking coding performance through audits, quality reviews, providing constructive feedback and guidance
- Support coders with complex case resolution, documentation improvement education, and coding clarification
- Collaborate with coding leadership to implement training strategies based on audit outcomes and performance metrics
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
- Bachelor's degree in health information management, life science or a related field is preferred
- AAPC/AHIMA Certification is required: CPC, COC, CCS
- 8+ years of hands-on outpatient ED medical coding experience, with at least 4+ years in training, mentoring or quality role
- Solid knowledge of US healthcare RCM system
Preferred Qualifications:
- Additional certifications such as CEDC (Certified Emergency Department Coder)
- Additional experience on Ancillary coding
Skills:
- Familiarity with EMR/EHR, compliance standards, auditing platforms
- Excellent attention to detail and accuracy in coding and documentation
- Effective communication skills for provider interactions, strong analytical skills, presentation skills
- Ability to work independently and meet tight deadlines
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.
#njp
Skills Required
- Bachelor's degree in health information management, life science or related field
- AAPC/AHIMA Certification (CPC, COC, CCS)
- 8+ years hands-on outpatient ED medical coding experience
- 4+ years in training, mentoring, or quality role
- Solid knowledge of US healthcare revenue cycle management (RCM) systems
- Familiarity with EMR/EHR, compliance standards, and auditing platforms
- Certified Emergency Department Coder (CEDC)
- Experience with ancillary coding
Optum Compensation & Benefits Highlights
-
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.
-
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.
-
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.
Gallery
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.
