Optum is seeking a detail-oriented and experienced Medical Coding Associate to join our dynamic healthcare team. This role is responsible for accurately reviewing and coding patient medical records, ensuring compliance with federal, state, and organizational guidelines. The ideal candidate will have strong knowledge of ICD-10, CPT, and HCPCS coding standards, attention to detail, and a commitment to maintaining the highest quality standards in medical documentation. This is a critical role that supports revenue integrity and contributes to the overall efficiency of our healthcare operations.
Key Responsibilities:
Accurately review and assign ICD-10, CPT, and HCPCS codes to patient encounters.
Ensure compliance with all applicable coding regulations, payer guidelines, and company policies.
Collaborate with physicians, clinical staff, and billing teams to clarify documentation as needed.
Conduct routine audits of coded records to ensure accuracy and completeness.
Maintain confidentiality and security of patient health information in accordance with HIPAA regulations.
Stay updated on changes in coding guidelines, regulations, and industry best practices.
Assist in resolving coding discrepancies and providing support during revenue cycle audits.
Participate in ongoing training and professional development initiatives to enhance coding skills.
Required Skills and Qualifications:
Strong knowledge of ICD-10, CPT, HCPCS Level II, and medical terminology.
Ability to analyze and interpret medical records accurately.
Attention to detail with a high level of accuracy in coding.
Excellent communication and interpersonal skills to liaise effectively with clinical teams.
Proficiency in electronic health record (EHR) systems and coding software.
Strong organizational skills with the ability to manage multiple priorities.
Certification in medical coding (e.g., CPC, CCA, or CCS) is preferred.
Experience:
Minimum of 1–3 years of experience in medical coding, preferably in a hospital or healthcare setting.
Experience with diverse specialties and complex medical documentation is a plus.
Prior experience with revenue cycle processes and clinical documentation improvement programs is advantageous.
Working Hours:
Full-time role, standard working hours are Monday to Friday, 9:00 AM – 5:30 PM.
Flexibility may be required to meet business needs.
Remote or hybrid work options may be available depending on location and team requirements.
Knowledge, Skills, and Abilities:
Deep understanding of coding standards, payer rules, and compliance requirements.
Analytical mindset with the ability to resolve coding discrepancies efficiently.
Strong computer literacy, including MS Office and healthcare management systems.
Ability to maintain confidentiality and exercise discretion with sensitive patient information.
Commitment to continuous learning and professional development.
Benefits:
Competitive salary and performance-based incentives.
Comprehensive health, dental, and vision insurance.
401(k) retirement plan with company match.
Paid time off and holidays.
Professional development and certification reimbursement programs.
Flexible work arrangements to support work-life balance.
Why Join Optum:
At Optum, we are committed to transforming healthcare delivery by combining technology, data, and personalized care. As a Medical Coding Associate, you will play a pivotal role in ensuring accurate documentation that directly impacts patient care and organizational success. Join a collaborative and innovative team that values professional growth, recognizes excellence, and provides opportunities to make a tangible difference in the healthcare ecosystem.
How to Apply:
Interested candidates can apply online by visiting Optum Careers and submitting a resume along with a cover letter highlighting relevant experience and certifications. Qualified candidates will be contacted for an initial screening and assessment.