Job summary
Job post source
This job is directly from Optum, a UnitedHealth Group company, as indicated by the detailed company description and direct application instructions.
Job overview
The Prepay Coding Investigation Consultant role at Optum involves analyzing medical coding to ensure accuracy and compliance, directly impacting healthcare payment integrity and optimization.
Responsibilities and impact
The consultant will review and assign medical codes using various resources, manage multiple tasks to meet productivity standards, respond to coding audits, mentor others, and maintain professional certifications.
Compensation and benefits
The position offers an hourly wage between $23.41 and $41.83 based on experience and location, comprehensive benefits including health insurance, 401k, equity stock purchase, and incentive programs.
Experience and skills
Candidates must have a high school diploma or higher, be a licensed nurse or certified coder, and have 3+ years of CPT and ICD coding experience; preferred qualifications include health insurance billing experience and additional certifications like AHFI or CFE.
Career development
Optum provides paid training, career development opportunities, and clear pathways for advancement within the company.
Work environment and culture
The company culture values inclusion, teamwork, and communication, with a focus on health equity and environmental responsibility, supporting remote work flexibility.
Company information
Optum is a global health services organization under UnitedHealth Group, dedicated to improving health outcomes through technology and care services.
Job location and travel
This is a full-time remote position with required work hours from 8:00am to 5:00pm CST, Monday through Friday, with occasional overtime or weekend work.
Application process
Applicants must apply online, comply with drug testing, and the job posting remains open for at least two business days or until enough candidates apply.
Unique job features
The role offers telecommuting flexibility nationwide, paid virtual training, and the opportunity to work on impactful healthcare coding projects within a large, mission-driven organization.
Company overview
Optum is a leading health services and innovation company that operates as part of UnitedHealth Group. It provides a wide range of healthcare solutions, including data and analytics, pharmacy care services, and healthcare delivery and operations. Optum generates revenue through its diverse portfolio of services aimed at improving healthcare efficiency and outcomes. Key historical milestones include its formation in 2011 and subsequent growth through strategic acquisitions and partnerships, positioning it as a significant player in the healthcare industry.
How to land this job
Position your resume to highlight your 3+ years of CPT and ICD coding experience, emphasizing surgical, hospital, and clinic settings to align with Optum's requirements.
Focus on showcasing your familiarity with medical coding software, understanding of anatomy and physiology, and ability to apply Federal, State, and Professional coding guidelines, as these are key responsibilities.
Apply through multiple channels including Optum's corporate careers site and LinkedIn to maximize your exposure and chances of being noticed for this remote nationwide role.
Connect on LinkedIn with professionals in Optum's Payment Integrity or Medical Coding divisions; use ice breakers like commenting on recent company initiatives in healthcare optimization or asking about their experience with coding challenges in a remote setting.
Optimize your resume for ATS by incorporating keywords such as 'CPT coding,' 'ICD coding,' 'medical coding software,' 'Payment Integrity,' and 'clinical documentation interpretation' to ensure your resume passes initial automated screenings.
Leverage Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application portals, and find relevant LinkedIn connections, freeing you to focus on interview preparation and skill enhancement.
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