Join Optum, a global leader in health services and technology, dedicated to improving lives by connecting individuals with essential care, pharmacy benefits, data, and resources. We foster an inclusive culture where talented professionals thrive, supported by comprehensive benefits and career growth opportunities.

Our mission is to advance health optimization worldwide, empowering communities and individuals to achieve their best health.

This role is pivotal in ensuring the accuracy and timeliness of administrative and clinical data through precise assignment of ICD-10-CM/PCS, CPT, or HCPCS codes. You will operate in strict adherence to governmental regulations, state licensing requirements, and Optum's policies and procedures.

Responsibilities include assigning accurate ICD-10-CM, ICD-10-PCS, CPT, or HCPCS codes to diagnoses and procedures, directly supported by medical record documentation. You will meticulously follow official coding guidelines to ensure consistent and precise coding of diagnostic and procedural data.

Utilize provided tools and applications to maintain coding accuracy, and proactively identify and report incomplete documentation to management and data science teams. Key tasks involve determining diagnosis sequencing according to UHDDS standards and correctly linking diagnoses to procedures for ambulatory/professional coding.

You will maintain compliance with Optum's medical record encounter detail policies, stay current with evolving coding principles and guidelines, and achieve a minimum 95% coding accuracy rate. Additional duties may include related coding, annotating, and auditing projects, all while adhering to employment contract terms and company policies.

This position requires a minimum of 7 years of experience in acute care hospital inpatient coding/auditing, including IP coding, IP DRG/MS-DRG assignment and validation, or ambulatory professional coding/auditing (ED/E&M) within the relevant specialty.

Candidates must hold a recognized certification such as Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or Certified Professional Medical Auditor (CPMA).

Essential knowledge includes current ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II codes and guidelines, proper sequencing rules, and medical terminology. Demonstrated abilities must include accurate code assignment based on medical information, maintaining code databases, organizing tasks for timely coding, effective oral and written communication, and the ability to interpret regulations and guidelines.