Clinical Investigator
UnitedHealth Group
UnitedHealth Group
Join Optum, a global leader in healthcare, and contribute to improving health outcomes by connecting individuals with the resources they need. Our inclusive culture fosters collaboration with talented peers and offers comprehensive benefits and career development. Make a significant impact on communities worldwide as we advance health optimization.
Utilize medical expertise, coding knowledge (CPT, diagnosis), and compliance guidelines to prevent fraudulent claims. Adhere to state, federal, and client-specific policies. Assist teams with special projects and reporting, and coordinate with colleagues on process updates. Comply with all employment terms, company policies, and directives, demonstrating flexibility in a dynamic business environment.
A graduate degree is required, with preference for BHMS, BAMS, BUMS, BPT, B.Sc. Nursing, or BDS. A B.Sc. Nursing or BDS combined with 1+ year of corporate experience is also sought. Certification as a coder through AAPCC (CPC only) is essential.
Candidates with 1+ years of experience (if not a medical graduate) should possess expertise in specialty coding such as E&M or surgery, excluding solely HCC. Proven attention to detail, a quality-focused approach, and strong analytical and comprehension skills are paramount.
UnitedHealth
Healthcare