Medical Coder

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.

As a Medical Coder, you will be responsible for procedure and diagnostic coding of professional charges. You will work closely with clinical department physicians and staff to ensure accurate and compliant coding and maximization of revenue through initial coding.

Schedule: Following training, hours are Monday-Friday (either 4 x 9.7-hour workdays or 5 x 7.75-hour workdays) between 6am-6pm EST. Preference for candidates residing in EST or CST.

You will enjoy the flexibility to telecommute from anywhere within the U.S.

Primary responsibilities include:

• Coding a variety of medical records using CPT, HCPCS, and ICD-10 codes for office, outpatient, inpatient, surgical, hospital ancillary, nursing facility, urgent care, ambulatory surgery center, and other charges for physicians and providers of professional billing
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
• Contacting providers or their representatives regarding inappropriate, incomplete, or unclear coding
• Searching for information in complex or unusual coding cases; forwarding unresolved questions to manager
• Ensuring codes are accurate and sequenced correctly per government and insurance regulations
• Notifying manager of any coding denial trends
• Responding to coding inquiries from providers and support staff
• Keeping current with governmental and payor coding and reimbursement rules
• Reporting accurate productivity and other data as requested
• Maintaining productivity, quality standards, and processing timelines as established
• Ensuring compliance with payer filing deadlines
• Cooperating with governmental and third-party insurer audits
• Adhering to governmental and third-party compliance issues
• Complying with health and safety requirements and regulatory agencies
• Enhancing professional growth through educational programs, seminars
• Attending required meetings, conferences, and seminars
• Performing other related duties
• Maintaining regular, reliable attendance

Required qualifications:

• High School Diploma/GED
• Certification in CPC, CCS-P, CPC-A
• 2+ years of physician-based coding experience
• Willingness and ability to learn billing software within 6 months of hire

Preferred qualifications:

• 2+ years experience in ICD-10, CPT, and HCPCS coding or completion of related college courses
• Multi-specialty office-based coding experience preferred
• Previous EPIC experience
• Certified Coder - Billing and Coding
• Proficiency with Microsoft software (Outlook, Teams, Excel)

Soft skills:

• Excellent organizational and communication skills
• Ability to work independently and as part of a team
• Professional and courteous manner when interacting with providers and staff

Compensation is based on factors including local labor markets, education, experience, and certifications. Hourly pay ranges from $20.38 to $36.44 per hour based on full-time employment. Benefits include paid time off, medical plans, dental, vision, life and disability insurance, 401(k), employee stock purchase plan, education reimbursement, employee discounts, assistance programs, referral bonuses, and voluntary benefits.