Explore Opportunities With OptumProHealth Care is proud to be a leader in health care services, serving Waukesha County and the surrounding areas for more than a century. Explore opportunities across the full spectrum of care as you help us improve the well-being of the community with your skills, compassion and innovation. Be part of a collaborative environment that strives for excellence, nurtures respect and ensures high-quality care delivery to our patients. Join us in making an impact as an Optum Team Member supporting Pro Health Care and discover the meaning behind Caring. Connecting. Growing Together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Serve as a liaison between coding teams and providers, delivering expert guidance to resolve inquiries and concernsCollaborate with Edits and Denials teams to analyze trends and implement educational initiatives or system edits to address recurring issuesPartner with clinical leadership during the introduction of new services to ensure accurate documentation and coding complianceParticipate in specialty and physician group meetings on a quarterly basis to provide targeted coding education and respond to ad hoc inquiriesDeliver comprehensive coding and documentation training for all newly onboard providersProvide annual education to providers with on code set updates to maintain compliance and accuracyConduct annual provider audits to validate charges and support documentation, while identifying potential revenue opportunitiesProvide targeted education and follow-up audits for providers who do not meet established quality standardsPerform ad hoc audits in response to client requests or identified concernsEducate coders and providers on audit findings and emerging trends to promote continuous improvementAssist coders and/or supervisors as needed on rebuttals for tri-annual auditsYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:High School Diploma/GED (or higher)Professional coder certification with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually3+ years of Physician medical coding (ICD-10, CPT, HCPCS II) experience in a multi-specialty physician clinic2+ years of experience with Residency Program (teaching hospital) with coding experience in complex procedures in one or more the following specialty areas: Primary Care, GI, General Surgery, Colorectal, Endovascular, Internal Med, Family Med, Pediatrics, Urgent Care2+ years of experience being able to provide expert level coding guidance to physicians, practitioners, and coders as neededIntermediate level of knowledge of MUE and NCCI classification and reimbursement structuresIntermediate level of proficiency in a Windows PC environment, including MS Excel and with EpicPreferred Qualifications:Experience auditing charts in a professional coding environmentExperience providing physician/coding education a plusExperience with various systems (Microsoft Teams, Encoder Pro, etc.)Experience in Inpatient/Observation E/M codingIntermediate level of experience with Microsoft ExcelSoft Skills:Must be able to communicate effectively face-to-face and in writing*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.