Coding Investigation Consultant

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.

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm CST. It may be necessary, given business need, to work occasionally overtime or weekends.

We offer weeks of paid on-the-job training. The hours during training will be 8:00am to 5:00pm CST, Monday - Friday. Training will be conducted virtually from your home.

You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

• Utilize resources and reference materials (e.g., online sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines
• Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
• Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
• Utilize medical coding software programs or reference materials to identify appropriate codes
• Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
• Provide information or respond to questions from medical coding quality audits
• Educate and mentor others to improve medical coding quality
• Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
• Attain and/or maintain relevant professional certifications and continuing education seminars as required

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.

• High School Diploma/GED (or higher)
• Licensed Registered Nurse (RN), Licensed Practical Nurse (LPN) and/or Certified Coder
• 3+ years of CPT & ICD coding experience (surgical, hospital, clinic settings)
• Intermediate level of proficiency with PC based software
• Ability to work our normal business hours of 8:00am - 5:00pm CST, Monday - Friday. It may be necessary, given the business need, to work occasionally overtime or weekends
• Must be 18 years of age or older

• Experience with health insurance billing/coding within Payment Integrity
• AHFI or CFE certification
• Experience in a production environment

• Ability to prioritize and manage multiple tasks
• Proven ability to work in a team setting
• Excellent oral and written communication skills and presentation skills
• Critical thinking, problem solving and analytical skills

* All Telecommuters will be required to adhere to United Health 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 401(k) 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 hourly pay for this role will range from $23.41 to $41.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair…