ProFee Surgical Medical Coder – Remote (US) | Optum
Job Category: Medical & Clinical Operations
Location: Eden Prairie, MN, United States (Remote option available)
Requisition Number: 2313703
About the Organization
Optum, part of UnitedHealth Group, is a global leader in healthcare innovation. The organization leverages data, technology and clinical expertise to improve patient outcomes and strengthen healthcare delivery worldwide. With a culture rooted in inclusion and a strong focus on professional development, Optum offers an environment where your expertise can meaningfully impact communities and healthcare systems globally.
Optum360, a partnership between Dignity Health and Optum, delivers comprehensive revenue cycle management solutions to healthcare providers across the United States. The team plays a critical role in supporting hospitals and healthcare systems navigating evolving medical coding standards, regulatory requirements and revenue integrity challenges.
Position Overview
Optum is seeking a Full-Time ProFee Surgical Medical Coder experienced in professional (ProFee) coding for surgical specialties. This role requires precise coding of CPT, ICD-10 and HCPCS codes, adherence to official guidelines and collaboration with clinical teams to ensure complete and accurate documentation. Remote work is available anywhere within the United States.
Standard work schedule: Monday to Friday, 40 hours per week. Overtime may be required based on business needs.
Key Responsibilities
Review medical records and assign accurate CPT, ICD-10 and modifier codes for professional surgical services according to official and facility-specific guidelines.
Demonstrate expert-level proficiency across ProFee coding specialties including General Surgery, Orthopedics, OB/GYN, Cardiovascular, Neurosurgery and Evaluation & Management.
Abstract additional clinical details from charts as needed to support coding accuracy.
Follow ethical coding standards established by AAPC and AHIMA.
Maintain productivity and quality benchmarks set by Optum Coding Operations.
Provide documentation feedback to providers and initiate physician queries when clarification is necessary.
Stay updated on coding requirements and training materials shared by management and quality teams.
Participate in departmental meetings, audits and educational programs.
Support other coding-related tasks as assigned by leadership.
Required Qualifications
High School Diploma or GED (or higher).
Active professional coding certification from AHIMA or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC). Certification must be maintained annually.
Minimum 3 years of professional (ProFee) outpatient surgical coding experience.
Minimum 3 years of hands-on experience with ICD-10, CPT and HCPCS coding.
Proficiency using Windows-based computer systems, Microsoft Excel (creating and editing spreadsheets) and EMR platforms.
Ability to flex across multiple facilities as assigned.
Preferred Qualifications
Ability to work weekends, holidays or overtime based on business need.
Telecommuting Requirements
A dedicated, private workspace separate from living areas.
Ability to secure and protect all confidential company documents and patient information.
Access to an approved high-speed internet connection as per UnitedHealth Group’s telecommuting standards.
Compliance with the UnitedHealth Group Telecommuter Policy.
Compensation and Benefits
Compensation is determined by several factors, including education, certifications, experience and local labor market conditions.
Hourly Rate: USD 20.00 to 35.72 (based on full-time schedule).
Comprehensive benefits package, incentive programs, equity stock purchase options and 401(k) contributions are available, subject to eligibility.
Equal Employment Opportunity
UnitedHealth Group is committed to an inclusive workplace. Qualified applicants will receive equal consideration without regard to race, color, religion, national origin, sex, gender identity, sexual orientation, age, disability or veteran status, as required by applicable law.
UnitedHealth Group maintains a drug-free workplace. All candidates must pass a drug test prior to employment.
Application Information
This position will remain posted for a minimum of two business days or until a sufficient pool of qualified applicants is identified. Posting may close earlier depending on application volume.
Applicants in accordance with the San Francisco Fair Chance Ordinance will be considered even with arrest or conviction records.
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Berlin |Germany :
Germany | GErmany |Hesse :
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Bavaria |North Rhine Westphalia :
Aachen | Bielefeld | Bochum | Bonn | Cologne | Dortmund | Duisburg | Dusseldorf | Munster |Rhineland Palatinate :
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Dunboyne |Republic of Ireland :
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China | Quarry Bay |Hubei :
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Beijing |Shanghai Sai :
Shanghai Shi |Tokiyo :
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Hangzhou |Melbourne :
South Yarra |New South Wales :
Ballina | Sydney |Queensland :
Queensland |Remote Australia :
Arkansas | Remote Australia |Republic of Western Australia :
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Sheffield |United Kingdom :
England | Harlow | Leeds | London | Maidenhead | Salt Lake City | Stevenage | Stirling | United Kingdom |Buenos Aires :
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Vienna |Antwerp :
Heist op den Berg |Brussels :
Brussels |Flemish Brabant :
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Sofia |Canada :
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Zagreb |Bohemia :
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North Ostrobothnia :
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Remote Korea |Republic of Korea :
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