Title: Medical Coder - RAD-ONC Location: United States Work Type: Remote, Full Time Job ID: 2339773 Job Description: 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. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes to all RAD-ONC - Monitors assigned work queues to ensure all records are charged/coded in a timely matter - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision - All other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'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. Required Qualifications: - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-A, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually - 2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems - 2+ years of experience with ICD-10 and CPT coding with a focus in RAD-ONC Preferred Qualifications: - 2+ years of post-certification medical coding experience - 2+ years of Outpatient Physician coding (Pro-Fee) experience - Experience with EMR systems (Epic) - All Telecommuters 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 hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

Title: Team Lead - Gastroenterology Location: Norwood, MA, United States Job Description: Requisition number: 2360783Job category: Medical & Clinical OperationsPrimary location: Norwood, MAOvertime status: Non-exemptTravel: No HYBRID IN MASSACHUSETTS 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. Under general supervision, coordinates the daily support operation of Gastroenterology referral management. Review complex referral requests and evaluate and assign appropriate specialists for the patient. Works with patients and providers to understand the services being requested. Works closely with Gastroenterology providers and nurses to ensure safe and appropriate clinical handoffs. Coordinates care both within Atrius Health and with external partners. Assures patients are scheduled appropriately at the correct procedure locations. Supports GI providers with their schedules, procedure cancelations, and coordinating rescheduling of patients. Schedule: Monday - Friday, 8:30am - 5pm Location: This is a hybrid role, will be required to work onsite 1 day per week at 1177 BOSTON PROVIDENCE HWY NORWOOD, MA 02062 If you reside near NORWOOD, MA, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges. Department: Digestive Health Primary Responsibilities: - Exhibits a high level of technical skill and functions as a resource for other support members. Fills in for referral staff as needed to provide appropriate department support. Takes a lead role in ensuring department workflow is of a high quality. Understands and achieves a high level of competence in all GI Navigator Coordinator roles - Implements operational procedures in accordance with established guidelines. May make minor modifications to standard procedures. Review exceptions and changes with a supervisor. Monitors staff's understanding of current procedures and ensures procedures are implemented correctly - Monitors procedures and ensures procedures are implemented correctly. Provides feedback to management on status of implementation process - Serves as point person for department providers. Escalate issues as needed - May acts as the point of contact for patient inquiries, problems, and complaints. Refers complex issues to appropriate resources - Refers interdepartmental and clinical issues to appropriate resources - Exhibits exemplary patient manners and serves as a role model for Referral Coordinators - Monitors routine data and information flow for the department and notifies the supervisor of any deviations - Assists in the orientation of new staff. May collect data for use in the management decision-making process. Completes standard reports required for the management of the department - May handle scheduling time off, timesheet, and payroll issues for staff. Provides input into performance reviews - Monitors appointment schedules for booking accuracy. Ensure the provider's schedules are booked to capacity - Develops and prepares GI Procedure Phone Room performance reports by collecting, analyzing, and summarizing data and trends and reports on this regularly to the Navigator Supervisor - Assist the Navigator Supervisor, maintaining and improving GI Procedure Phone Room operations by monitoring system performance; identifying and resolving problems; preparing and completing action plans; completing system audits and analyses; managing system and process improvement and quality assurance programs; participating in system upgrades - Build strong positive partnerships with off-site-based leaders at Hospitals and Endoscopy units - Provide direction and support to staff to ensure departmental effectiveness and efficiency. Orients and trains staff. Provided input into evaluating performance - Functions as a resource for other support members. Fills in for staff as needed to provide appropriate support to the department. Takes the lead role in ensuring department workflow is of a high quality - May act as supervisor in the absence of actual supervisor - Accesses only the minimum necessary protected health information (PHI) for the performance of job duties. Actively protects the confidentiality and privacy of all protected health information they access in all its forms (written, verbal, and electronic, etc.) taking reasonable precautions to prohibit unauthorized access. Complies with all Atrius Health and departmental privacy policies, procedures and protocols. Follows HIPAA privacy guidelines without deviation when handling protected health information - Ability to work in a Busy office environment with frequent deadlines and interruptions - Performs other duties as assigned Supervisory Responsibilities: - Directs and monitors work for mid-size groups - Provides direction and support to staff to ensure departmental effectiveness and efficiency - Orients and trains staff - Provide input into evaluating staff performance evaluations - Functions as resources for other support members. Fills in for staff as needed to provide appropriate support for the department. Takes lead role in ensuring department workflow is of a high quality - May act as supervisor in absence of actual supervisor What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'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. Required Qualifications: - High School Diploma/GED - 3+ years of scheduling experience in a medical office setting - Intermediate level of proficiency with MS Word, Excel and Outlook Preferred Qualifications: - Previous GI experience - Previous experience leading a team and/or training others Soft Skills: - Strong interpersonal skills with the ability to interact effectively with patients and medical professionals required - Has sound judgment with the ability to work and make decisions in a fast-paced environment *All Telecommuters 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 hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #YELLOW

Title: Coding Denials & Auditing Supervisor Location: Remote United States Overtime status: ExemptTravel: No Job Description: Optum NY/NJ, is seeking a Coding Denials & Auditing Supervisor Coding to join our team in Remote, Nationwide. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Coding Denials & Auditing Supervisor is responsible for the oversight of coding denial resolution, coding quality auditing, and compliance monitoring across professional fee services. This role ensures accurate, complete, and compliant coding practices while reducing denial volume, improving first-pass yield, and supporting revenue integrity initiatives. The Supervisor leads a team of coding denial specialists and/or auditors, drives root cause analysis, and partners with coding, charge capture, and provider teams to identify trends and implement sustainable process improvements. Schedule: Monday to Friday, 8:00 am to 5:00 pm EST Location: Remote Nationwide You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Denials Management Oversight - Supervise daily operations of coding denial work queues, ensuring timely and accurate resolution of payer denials - Establish productivity and quality expectations for denial staff and monitor performance against targets - Review complex denials and provide guidance on appropriate coding corrections, appeals, or education opportunities - Identify denial trends (e.g., bundling, modifier usage, medical necessity) and escalate systemic issues - Auditing & Quality Assurance - Oversee routine and targeted coding audits (prospective and retrospective) to ensure compliance with applicable coding standards - Ensure audits are conducted using CPT, ICD-10-CM, HCPCS, CMS, and payer-specific guidelines - Validate audit accuracy, scoring methodology, and consistency across auditors - Maintain audit schedules aligned with compliance requirements and organizational priorities - Performs other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma/GED - CCS, CPC, or equivalent certification required - 5+ years of professional coding experience - 5+ years of experience in denials management, auditing, or coding quality review - Access to a designated quiet workspace in your home (separated from non-workspace areas) and is able to secure Protected Health Information (PHI) - Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service - Ability to work Monday through Friday 8:00 am to 5:00 pm EST Preferred Qualifications: - 5+ years of professional coding experience multi-specialty preferred - 1+ years of prior supervisory or leadership experience - CEMA certifications Soft Skills: - Ability to work independently and maintain good judgment and accountability - Demonstrated ability to work well with health care providers - Strong organizational and time management skills - Ability to multi-task and prioritize tasks to meet all deadlines - Ability to work well under pressure in a fast-paced environment - Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others - Ability to collaborate with your work team - All Telecommuters 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. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Role Description The Inpatient Coding Specialist III will support the importance of accurate, complete and consistent coding practices for the production of quality healthcare data. The person in this role should be proficient in coding the most complex types of coding cases (Inpatient) applying the correct ICD-9/ICD-10-CM diagnosis codes, the newly developed and mandated ICD-10-PCS codes to inpatient procedure cases and strive for optimal reimbursement. The Coding Specialist III will have the ability to float to different coding areas as needed. - Location: 100% Remote - Schedule: Part time (Monday – Friday) - 20 hours per week - Typical Hours: Between 5:00 am – 5:00 pm CST Qualifications - Inpatient Coding (facility) in an Acute Care Hospital preferred - 2+ years medical record coding experience and knowledge of DRG assignment and reimbursement regulations as acquired in an acute care environment preferred - Requires experience coding through an encoder and should be proficient with Windows based applications required - Coding for pediatric cases preferred Requirements - One of the following certifications is preferred: - CCS-Certified Coding Specialist - American Health Information Management Association - RHIT-Registered Health Information Technician - American Health Information Management Association - RHIA-Registered Health Information Administrator - American Health Information Management Association - Requires knowledge of ICD-9-CM/ICD-10-CM, ICD-10-PCS and CPT classification systems as well as the Official Guidelines for Coding and Reporting. - Requires excellent verbal and written skills to facilitate communications with medical staff, peers, management and other hospital personnel. - Requires ability to adapt and participate in frequent changes of policies and procedures in response to internal and external requirements for health care data. - Requires ability to maintain accuracy, work independently and resolve problems effectively. Education - High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required Company Description Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.