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, CICAdditional 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 roleSolid knowledge of US healthcare RCM systemFamiliarity with EMR / EHR, compliance standards, auditing platformsProven excellent attention to detail and accuracy in coding and documentationProven effective communication skills for provider interactions, solid analytical skills, presentation skillsProven ability to work independently and meet tight deadlinePreferred Qualification :
Bachelor's degree in health information management, life science or a related fieldSkills Required
Pharmacy Benefits