Optum

Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being...

A leading health care provider in the United States is seeking a Senior Inpatient Medical Coder. This remote position requires strong expertise in ICD-10 coding and previous success in a coding environment. You will be responsible for accurate medical coding and maintaining documentation standards. The position offers comprehensive benefits, including paid time off and health insurance plans. Candidates should have 5+ years of coding experience and current coding credentials from AHIMA or AAPC. #J-18808-Ljbffr

A healthcare management company is seeking an RN Clinical Quality to support Medical Management and Population Health programs. This role ensures compliance with regulatory standards through clinical audits, quality performance monitoring, and collaboration with teams. Candidates must have an RN license and managed care experience. The position offers remote work flexibility across the U.S. and a comprehensive benefits package, with a salary range of $60,200 to $107,400 annually. #J-18808-Ljbffr

Optumis 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale.Join us to start Caring. Connecting. Growing together. As an Senior Ambulatory Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Edits for all types of Professional Coding Services. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and procedures as well as medical terminology...

A healthcare organization in Minnetonka is seeking a full-time SDS/Observations Medical Coder. The ideal candidate will have outpatient coding expertise, including Same Day Surgery Coding and ICD-10 experience. This role offers telecommuting flexibility and requires current coding credentials. The pay ranges from $20.00 to $35.72 per hour, accompanied by a comprehensive benefits package. Join to help advance health equity while making a tangible impact in healthcare. #J-18808-Ljbffr

A leading healthcare organization is seeking a Senior Inpatient Medical Coder to work remotely. The role involves assigning ICD-10 codes, providing feedback to healthcare providers, and maintaining coding quality standards. Candidates must have at least 3 years of inpatient coding experience and appropriate certifications. The position offers a flexible work environment and a competitive pay range, along with comprehensive benefits. #J-18808-Ljbffr

Explore opportunities with Kelsey‑Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi‑specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities Provides coding and coding‑auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal revenue cycle...

A leading health care organization is seeking a Coding Specialist in Houston to provide coding and auditing services for physician documentation. This role requires a High School Diploma and professional coding certification, along with 2+ years of billing experience. The Coding Specialist will ensure compliance and support revenue cycle performance. Hourly pay ranges from $20.38 to $36.44. Join a nationally recognized team focused on delivering high-quality care. #J-18808-Ljbffr

A leading global healthcare organization is seeking a Utilization Management RN Coder. This role involves reviewing patient medical records and composing appeal letters while ensuring compliance with coding guidelines. Candidates must have an Associate's Degree, relevant coding certifications, and an unrestricted RN license. With a culture focused on inclusion and career development, the organization offers competitive salary ranging from $60,200 to $107,400 annually and the flexibility to telecommute from anywhere within the U.S. #J-18808-Ljbffr

Overview 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. Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. They will have working knowledge to use encoders and select appropriate, supportable appeal arguments from evidence-based, peer-reviewed medical...

Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details: Location: Remote- Worcester, MA Schedule: Full Time Department: Medical Coding- Manager Responsible for the supervision and day-to-day instruction of assigned employees and activities to ensure efficient and accurate claims coding and denials. Assists in maintaining department operations and acts as a leader in Manager's absence. Primary Responsibilities: Assists Management...

A leading health organization is seeking a Senior Inpatient Medical Coder to provide coding services for inpatient hospital services. This is a remote position, and candidates must have a strong background in medical coding, particularly in inpatient settings. You will benefit from comprehensive health programs, a competitive salary ranging from $23.41 to $41.83 per hour, and extensive training to ensure success. #J-18808-Ljbffr

A healthcare services organization is seeking a full-time ICD-10 Coding Specialist to work from anywhere in the U.S. This role involves identifying coding assignments, maintaining coding standards, and engaging in continuous education. The ideal candidate will have a high school diploma, coding certification, and experience in inpatient coding. This position offers a competitive pay range of $23.41 to $41.83 per hour and comprehensive benefits. Join us to help improve healthcare outcomes while enjoying work-life balance. #J-18808-Ljbffr

Explore opportunities with Kelsey-Seybold Clinic , part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal...

A health services organization is seeking an Outpatient Medical Coder Edits to work remotely. This role involves accurately determining CPT and ICD-10 Codes for a variety of medical cases, ensuring compliance with coding policies. Applicants should have at least 2 years of coding experience and relevant certifications. The position offers full-time hours and flexible telecommuting options within the U.S. Competitive pay ranges from $20.00 to $35.72 per hour. #J-18808-Ljbffr

A leading healthcare organization is seeking a Remote Medical Coder who will assign accurate diagnostic codes and ensure charges are processed in a timely manner. The ideal candidate should have a CPC certification and over three years of coding experience, preferably in Primary Care or Family Medicine. This role involves generating coding queries and managing workloads effectively. Competitive hourly pay ranges from $20.38 to $36.44 based on experience and location. #J-18808-Ljbffr

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. The Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. Schedule : Monday to Friday, 8 AM- 5 PM Location : Remote Nationwide You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities:...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As an Outpatient Medical Coder Edits you will work remotely to accurately determine CPT and ICD-10 Codes for all types of same day surgeries, major Trauma ER encounters, observations, and complex surgery cases including orthopedic and spinal fusions. You will ensure that all coding assignments are accurate according to coding policies and based on the...

A health services company is seeking a Medical Coder to work remotely within the U.S. Job responsibilities include coding outpatient hospital accounts and ensuring compliance with coding guidelines. Candidates should have a high school diploma, relevant coding certifications, and at least 2 years of experience in coding and EMR systems. The role offers competitive hourly pay ranging from $20.38 to $36.44 and comprehensive benefits, including medical and retirement plans. #J-18808-Ljbffr

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

*7,000 Sign-On Bonus for External Candidates** Opportunities with Reliant Medical Group. When you join Reliant, you'll be part of a community-based, multi-specialty, physician-led medical group. Everyone works collaboratively on a common purpose: improving the quality, cost and experience of health care. With the resources of a global health organization - Optum - behind us, we're at the forefront of value-based care. Supported by a patient-centric business model - integrated care teams focus on the best patient care, rather than volume. Here, you'll contribute to an exceptional patient experience. Discover a place where you can help shape the future of health care and do your life's best work. (sm) Reliant Medical Group in Worcester has an opening for a full-time Ultrasound Supervisor. This career opportunity offers great compensation, full benefits, 401k match, paid holidays, and weekday hours within a positive, close-knit, team-oriented environment. This position...