%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EOptum 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.%3Cstrong%3E%26nbsp;%3C/strong%3EHere, 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.%3Cstrong%3E%26nbsp;%3C/strong%3EJoin us to start%26nbsp;%3Cstrong%3ECaring. Connecting. Growing together.%3C/strong%3E%26nbsp;%26nbsp;%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EYou’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cstrong%3EPrimary Responsibilities:%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ELeadership %26amp; Staff Management%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ESupervise day‑to‑day operations of the coding team (inpatient, outpatient, professional, or specialty coders)%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProvide coaching, mentoring, and performance evaluations for coding staff%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMonitor productivity and quality metrics, ensuring teams meet organizational benchmarks%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDevelop and maintain staff schedules, manage PTO, and ensure adequate coverage%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ELead regular team meetings and training sessions to communicate updates and reinforce expectations%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECoding Quality %26amp; Compliance%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l2 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEnsure coding accuracy and adherence to ICD‑10‑CM, CPT, HCPCS, and payer‑specific guidelines%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l2 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EConduct routine and targeted coding audits; provide feedback and corrective action plans%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l2 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EStay current with industry regulations (CMS, OIG, NCCI edits, payer bulletins)%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l2 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEnsure compliance with organizational policies, regulatory requirements, and ethical standards%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EWorkflow %26amp; Process Management%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l6 level1 lfo3;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EOversee daily work queue (WQ) review, assignment of cases, and timely resolution of holds/deficiencies%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l6 level1 lfo3;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EIdentify barriers and streamline workflows to reduce coding delays and improve revenue cycle performance%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l6 level1 lfo3;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPartner with HIM, billing, charge capture, clinical departments, and revenue integrity to resolve coding or documentation issues%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l6 level1 lfo3;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEscalate system or operational concerns and help develop corrective action plans%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EEducation %26amp; Training%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l5 level1 lfo4;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EProvide ongoing education to coders regarding guideline changes, documentation requirements, and payer rules%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l5 level1 lfo4;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECollaborate with physicians and clinical departments to improve documentation quality and clarity%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l5 level1 lfo4;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EDevelop training materials for new hires and support onboarding processes%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ESystems, Tools %26amp; Reporting%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l4 level1 lfo5;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMonitor coding dashboards, WQs, and productivity reports%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l4 level1 lfo5;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EParticipate in EHR or encoder updates, charge capture logic reviews, and testing (e.g., logic changes, edits, workflow redesigns)%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l4 level1 lfo5;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EMaintain accurate documentation of policies, procedures, and team workflows%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ERevenue Cycle Support%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l3 level1 lfo6;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EPartner with billing, editing, and denials teams to investigate and resolve claim holds, rejections, and denials%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l3 level1 lfo6;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EAnalyze trends in denials or payer behavior and implement corrective education or workflow enhancements%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l3 level1 lfo6;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ESupport charge capture accuracy and collaborate on organizational initiatives impacting reimbursement%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECollaboration %26amp; Communication%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo7;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EServe as the operational contact for coding-related questions from internal departments%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo7;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3ECommunicate coding changes, payer updates, and organizational initiatives clearly and timely%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo7;tab-stops:list .5in;%22%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3EParticipate in leadership meetings and contribute to strategic planning for the coding/HIM department%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cspan style=%22color:black;font-family:Tahoma, Geneva, sans-serif;font-size:10px;%22%3E%3Cspan style=%22line-height:115%;mso-ansi-language:EN-US;mso-ascii-theme-font:minor-latin;mso-bidi-font-family:%26quot;Times New Roman%26quot;;mso-bidi-language:AR-SA;mso-bidi-theme-font:minor-bidi;mso-fareast-font-family:Aptos;mso-fareast-language:EN-US;mso-fareast-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;%22%3EYou’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.%3C/span%3E%3C/span%3E%3C/p%3E
Required Qualifications:
- High School Diploma/GED
- Professional CPC coder certification with credentialing from AHIMA and/or AAPC to be maintained annually
- 3+ years of medical coding experience in pro-fee coding
- 1+ years in supervisory or lead experience (SME experience will be considered for qualification) and the ability to lead, coach, mentor and evaluate coding staff
Preferred Qualifications:
- Associate’s or Bachelor’s degree
- Ability to maintain confidentiality and demonstrate professional ethics
- Comfortable driving process improvement initiatives and operational changes
Soft Skills:
- Strong interpersonal skills and ability to collaborate with coding, billing, clinical and revenue cycle teams
- Excellent written and verbal communication skills for interacting with clinicians and leadership
- High attention to detail and commitment to accuracy
*All employees working remotely will be required to adhere to UnitedHealth 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 401k 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 salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO, #GREEN
Job Details
Job: Medical Coding
Primary Location: US-MN-Eden Prairie
Organization: Ops Provider Rev Svcs
Schedule: Full-time
Number of Openings: 1