Optum

UnitedHealth Group in San Juan, Puerto Rico, is seeking a skilled Clinical Auditor to review professional and facility claims, compare with medical records, and determine claim viability for further processing. The role emphasizes data accuracy, compliance, and clear clinical reasoning for providers. The position requires a Coding Certificate or Nursing Licensure, proficiency with Microsoft Office, and fluency in English and Spanish. #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 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. Schedule Monday - Friday 9am - 5:30pm Primary Responsibilities Demonstrate Leadership and Analytical Thinking capability Organizes workflow to ensure accurate and timely team performance Supervises the work schedule, ensuring adequate and appropriate coverage of all positions at all times Selects, and delegates training and orientation of new staff; assigns staff responsibilities, and...

Explore opportunities with Plains Medical Center Home Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Occupational Therapist, you will be responsible for assessment and evaluation of patient care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions. Primary Responsibilities: Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the physician...

Optum is recruiting an experienced inpatient DRG coder to support facility coding across a telecommuting model. You will assign ICD-10-CM/PCS, DRG, and abstraction per guidelines, while maintaining coding quality and productivity targets. Responsibilities include querying physicians, staying current with coding standards, and participating in department meetings. Candidates must hold AHIMA/AAPC credentials and have 3+ years inpatient DRG experience in acute care, with strong Excel and EMR #J-18808-Ljbffr

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Observation Medical Coder (2383676) Senior Observation Medical Coder - 2383676 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...

Northern Light Health, in partnership with Optum, is hiring a Senior Observation Medical Coder for a Remote, full-time role. You will provide inpatient/outpatient coding services for observation cases, ensuring adherence to coding standards and productivity expectations. The role requires AHIMA/AAPC credentials, strong ICD-10 expertise, and extensive experience with EMR tools and Excel in a remote setting. #J-18808-Ljbffr

Optum is seeking a Medical Coder to code CPT, HCPCS and ICD-10 for professional charges across diverse settings. This remote role supports physicians and staff to maximize compliant revenue. After training, shifts cover 6am-6pm EST, with telecommuting nationwide from the U.S. Requirements include a high school diploma, CPC/ CCS-P/ CPC-A certs and 2+ years of physician-based coding. Knowledge of EPIC and Microsoft Office is preferred. #J-18808-Ljbffr

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 Primary Location: 123 Summer Street, Worcester, MA, 01606 Department: Surgical Specialties Schedule: Full time, 38.75 hrs./ week- Monday - Friday 7:30a- 5:00p Under general supervision as a Team Lead, coordinates the daily support operations of a single clinical area or group. Primarily acts as a Medical Assistant and performs the full duties associated with this role. Is a resource for other...

Explore opportunities with Plains Medical Center Home Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Occupational Therapist, you will be responsible for assessment and evaluation of patient care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions. Primary Responsibilities: Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the...

Explore opportunities with Plains Medical Center Home Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Occupational Therapist, you will be responsible for assessment and evaluation of patient care needs related to functional status, activities of daily living, fine motor coordination, home assessments and adaptive equipment, and other occupational therapy needs as defined by medical conditions. Primary Responsibilities: Evaluates the patient's functional status, status of all body systems as required for CMS documentation, and occupational therapy needs. Consults with the...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The role leads day‑to‑day coding operations, coaching staff, and ensuring accuracy and compliance with ICD‑10‑CM, CPT, and payer-specific guidelines. You will supervise staffing, monitor productivity, and partner with HIM, billing, and clinical departments to resolve issues and improve revenue cycle performance. Remote work is available across the U.S. #J-18808-Ljbffr

Optum is a global organization delivering care aided by technology. This full-time remote role focuses on facility outpatient coding, including ICD-10 and CPT code assignments for hospital services, while adhering to coding guidelines and client policies. The ideal candidate will have AHIMA/AAPC certification, 2+ years in ER coding, proficiency with Excel and EMR systems, and strong attention to detail. Telecommuting is allowed from anywhere in the U.S. #J-18808-Ljbffr

Optum is seeking a Supervisor for Medical Collections to lead a team responsible for patient payment consultations. This remote position requires coordination of team activities and participation in hiring and training. The role emphasizes problem-solving skills and includes 3-6 weeks of paid training. This full-time job ensures flexibility within a structured work environment, and offers a comprehensive benefits package. The salary ranges from $49,700 to $88,800 annually depending on qualifications. #J-18808-Ljbffr

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. This Medical Coder position supports accurate and compliant coding to maximize revenue while collaborating with physicians and staff across departments. The role offers remote nationwide work with a 40-hour schedule and opportunities for professional growth. The ideal candidate has 2+ years of physician-based coding experience, CPC/CCS-P/CPC-A certifications, and strong #J-18808-Ljbffr

Optum is seeking a Profee Multi-specialty Medical Coder to join our team. The role involves applying diagnostic and procedural codes to patient records for data retrieval, analysis and claims processing. This full-time position focuses on outpatient nephrology coding among other specialties and requires AHIMA/AAPC credentials, ICD-10 and CPT proficiency, and EMR experience. Telecommuting within the U.S. is supported. #J-18808-Ljbffr

Job Description - Profee Multi-specialty Medical Coder (2381135) Profee Multi-specialty Medical Coder - 2381135 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. We’re focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder , you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards...

Optum is seeking an Outpatient Medical Coder Edits to accurately assign CPT and ICD-10 codes for same day surgeries, trauma ER, observations, and complex cases. This remote role supports providers with feedback and adheres to coding policies and guidelines. Requirements include AHIMA/AAPC credentials, 2+ years outpatient facility coding and expert CPT/ICD-10-CM skills. The position offers full-time hours with flexible 8-hour shifts across the U.S. #J-18808-Ljbffr

Optum is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the United States. You will ensure accurate inpatient ICD-10-CM/PCS coding, DRG impact, and proper documentation feedback to physicians under supervision. Required are AHIMA/AAPC credentials and 3+ years inpatient coding, with OSHPD/EPIC experience a plus. This full-time remote role offers standard business hours and benefits. #J-18808-Ljbffr

Optum is seeking a skilled Medical Coder specialized in outpatient Interventional Radiology to join our remote-friendly coding team. You will assign CPT/ICD-10 codes, review charts, and ensure compliance with AHIMA/AAPC guidelines, while maintaining accuracy and productivity. The role supports telecommuting from anywhere in the U.S. and offers comprehensive benefits; you will collaborate with providers, stay current with coding rules, and contribute to high-quality patient care across our #J-18808-Ljbffr

Optum in Eden Prairie, MN is seeking a full-time Medical Coder to assign CPT, ICD-10, and HCPCS codes for diverse services, including Emergency Department and Hospitalists. You will uphold AHIMA/AAPC standards while achieving quality and productivity targets. The role offers telecommuting within the U.S. and competitive hourly pay with comprehensive benefits. Strong Excel and EMR skills, plus ability to float to multiple clients, are preferred. #J-18808-Ljbffr

Optum in Minnesota seeks an Evaluation & Management Medical Coder/Auditor to provide coding and auditing services to providers. The role emphasizes education outreach, research, and maintaining accurate procedure codes, modifiers, and units. The position is full-time with standard CST hours and potential overtime. Telecommuting from anywhere in the U.S. is supported, with virtual training and onboarding. #J-18808-Ljbffr

Optum is seeking a professional medical coder specializing in palliative care to join a nationwide telecommuting team. You will assign ICD-10 and CPT codes, generate coding queries, and monitor work queues to ensure timely charging and documentation optimization. Required qualifications include AHIMA/AAPC certification, 2+ years of ICD-10/CPT coding experience in palliative care, and proficiency with Windows PCs, MS Excel, and Epic EMR. #J-18808-Ljbffr

Optum is seeking a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the United States. You will ensure accurate inpatient ICD-10-CM/PCS coding, DRG impact, and proper documentation feedback to physicians under supervision. Required are AHIMA/AAPC credentials and 3+ years inpatient coding, with OSHPD/EPIC experience a plus. This full-time remote role offers standard business hours and benefits. #J-18808-Ljbffr

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Medical Imaging Quality and Compliance Specialist - Kelsey-Seybold Clinic: Main Campus (2385037) Medical Imaging Quality and Compliance Specialist - Kelsey-Seybold Clinic: Main Campus - 2385037 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. Assesses, monitors, and maintains imaging staff internal quality assurance measures for...