Description

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.

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 regard 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:

• AAPC/AHIMA Certification: CPC, COC, CCS, CIC
• Additional certifications such as CEDC (Certified Emergency Department Coder)
• 8+ years of hands-on Surgery medical coding experience, with 5+ years in training, mentoring or quality role
• Solid knowledge of US healthcare RCM system
• Familiarity with EMR/EHR, compliance standards, auditing platforms
• Proven excellent attention to detail and accuracy in coding and documentation
• Proven effective communication skills for provider interactions, solid analytical skills, presentation skills
• Proven ability to work independently and meet tight deadline

Preferred Qualification:

• Bachelor's degree in health information management, life science or a related field

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.