Optum ยท 2 hours ago
Pre-Pay Coding Consultant
Plymouth, MN
Full-time
Hybrid
Mid Level
$23.41/hr - $41.83/hr
3+ years expOptum is a global organization that delivers care aided by technology to help millions of people live healthier lives. The Pre-Pay Coding Consultant will utilize resources to identify appropriate medical codes, apply knowledge of medical coding, and manage multiple work demands to improve health outcomes. Responsibilities include educating others on coding quality and maintaining relevant certifications.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules and guidelines
Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
Utilize medical coding software programs or reference materials to identify appropriate codes
Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
Provide information or respond to questions from medical coding quality audits
Educate and mentor others to improve medical coding quality
Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
Attain and/or maintain relevant professional certifications and continuing education seminars as required
Qualification
Required
High School Diploma/GED (or higher)
Licensed Registered Nurse (RN), Licensed Practical Nurse (LPN) and/or Certified Coder
3+ years of CPT & ICD coding experience (surgical, hospital, clinic settings)
Intermediate level of proficiency with PC based software
Ability to work our normal business hours of 8:00am - 5:00pm CST, Monday - Friday. It may be necessary, given the business need, to work occasionally overtime or weekends
Must be 18 years of age or older
Preferred
AHFI or CFE certification
Experience in a production environment
Experience with one or more of the following: Claim processing, Provider demographic information, Insurance billing practices
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase