CPC Coder - Utah - Full-time / Part-time

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

The Optum Medical Network is a network of health care providers in the Southwest whose mission is to connect and support providers by working together to deliver the most effective and compassionate care to every patient they serve.  Optum Medical Network's focus is to do the right things for patients, physicians, and the community. Optum Medical Network's Core Business is contracting directly with health insurers to deliver a highly personal care management and service model to their patients.  The current focus of Optum Medical Network is on seniors, and those with complex care needs, who most benefit from a high touch model of care.

The primary responsibilities for the CPC Coder include creation and implementation of a coding accuracy and improvement program for the UT market. This individual will create and execute the plan for improvement across the UT market, collaborating with all stakeholders.  This role will work with network managers, medical director, market leader and other employees to ensure improvement in coding accuracy.  Improvement will occur through internal and external education, innovative programs and provider engagement.  This individual will work closely with local teams as well as corporate teams.

This role will provide coding and coding auditing services directly to providers, which will include the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.  The ultimate goal is improvement in coding accuracy across the network. Also the role will be working on relevant measures as they pertain to the items below: 

• Coding review and education with providers and team


• Clinical Quality Documentation assessment


• Work Plans for CDQI


• Cross-functional collaboration with multiple teams and functions

• High School Diploma or GED required


• Minimum of 2+ years in coding or billing role required


• Certification in Coding (AHIMA or CPC) required


• Experience educating others to improve results in clinical coding required


• 2+ years in managed care with risk adjustment highly preferred


• Provider education experience preferred

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.