Professional Fee E/M Medical Coder

Optum is a global organization delivering care aided by technology to help millions live healthier lives, improving health outcomes by connecting people with care, pharmacy benefits, data, and resources.

This full-time position (40 hours/week, Monday-Friday) includes the flexibility to telecommute anywhere within the U.S. Occasional overtime may be required.

Primary duties include:

• Assigning CPT, ICD-10 Codes, and Modifiers for E/M services across specialties such as Emergency Department, Hospitalists, and Primary Care
• Applying expert knowledge in ProFee coding specialties, including Evaluation & Management, Critical Care, and Trauma, adhering to official and client coding guidelines
• Analyzing and correcting CCI Edits and Medical Necessity Edits
• Abstracting additional data during chart review as needed
• Following ethical coding standards established by AAPC and/or AHIMA
• Maintaining coding quality and productivity standards set by Optum
• Providing documentation feedback and querying physicians when appropriate
• Staying current with coding knowledge through manager-led education
• Participating in departmental meetings and educational events
• Recording charts coded, held, or missing

Required qualifications:

• High School Diploma or GED
• Professional coder certification from AHIMA and/or AAPC (e.g., CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) with annual maintenance
• Minimum 3 years of experience with ICD-10, CPT, and HCPCS
• Proficient with Windows PC, Microsoft Excel, and various EMR systems
• Flexibility to support multiple clients as needed

Preferred qualifications:

• 3+ years of outpatient Professional Fee E/M coding experience
• Willingness to work some weekends, holidays, and overtime as business needs dictate

Telecommuting requires a dedicated, private work area and secure handling of sensitive documents, plus a high-speed internet connection approved by UnitedHealth Group.

The hourly pay ranges from $20.38 to $36.44 based on factors such as location, education, experience, and certifications. Benefits include comprehensive packages, incentive programs, equity stock purchase, and 401k contributions, subject to eligibility.