Medicare Risk-Adjustment Medical Coder & Trainer

UnitedHealth Group; Las Vegas (NV); On-site; USD 28,000 - 50,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental Insurance

Vision Insurance

Life & AD&D Insurance

Short-term disability

Long-Term Disability

Job summary

Optum, part of UnitedHealth Group, is seeking a Medical Coder to support IPA providers with ICD-10 coding education for Medicare Advantage risk adjustment. The role trains clinical documentation to build accurate member health profiles and improve patient outcomes.

The position involves concurrent chart reviews, coding audits, and collaboration with clinic partners. Travel up to 50% may be required.

Qualifications

• High School Diploma or GED required.
• Certification in ICD-10 coding from AAPC or AHIMA; RN/LPN with intent to obtain within 12 months acceptable.
• 1+ year coding experience with ICD-10.
• Reliable transportation required.

Responsibilities

• Serve as Coding and Documentation resource with concurrent reviews and targeted chart or HEDIS retrievals in provider offices.
• Communicate coding audit findings and CMS/Optum guidelines to providers.
• Perform coding reviews and routine records retrieval.
• Collaborate with leaders to identify needs and develop solutions.
• Safely manage multiple tasks while adhering to timelines and department standards.

Skills

Attention to detail

Education

High School Diploma/GED

Associates degree in related field

Coding certification (AAPC/AHIMA)

Job description

Optum, part of UnitedHealth Group, is seeking a Medical Coder to support IPA providers with ICD-10 coding education for Medicare Advantage risk adjustment. The role trains clinical documentation to build accurate member health profiles and improve patient outcomes.

The position involves concurrent chart reviews, coding audits, and collaboration with clinic partners. Travel up to 50% may be required.