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Entry Level Optum Health Coding Risk Adjustment Jobs in Tennessee

Covenant Health

CODER ANALYST

Knoxville, TN · On-site

... Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are ...

Covenant Health

CODER ANALYST

Knoxville, TN

... Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN · On-site

Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk. * Works with Denials Elimination Group and ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN · On-site

Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk. * Works with Denials Elimination Group and ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN

Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk. * Works with Denials Elimination Group and ...

Covenant Health

CODER ANALYST

Knoxville, TN

... Coding Inpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant ... Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN

Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk. * Works with Denials Elimination Group and ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN · On-site

Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk. * Works with Denials Elimination Group and ...

Covenant Health (Tennessee)

CODER ANALYST

Knoxville, TN · On-site

... Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health ... Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are ...

Parallon

Inpatient Coding Quality Reviewer

Brentwood, TN · On-site

HCA Healthcare has committed up to $300 million in programs to support our incredible team members ... Post denials, post or correct contractual adjustments, and post other non-cash related Explanation ...

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Entry Level Optum Health Coding Risk Adjustment information

What is an entry level Optum Health coding risk adjustment?

An Entry Level Optum Health Coding Risk Adjustment position is a role within Optum Health focused on reviewing medical records and accurately assigning diagnostic codes to ensure proper risk adjustment for healthcare plans. These professionals help ensure that health plans receive adequate funding based on the health status of their members, which is crucial for organizations participating in Medicare Advantage and other risk-adjusted programs. Entry-level employees in this field typically work under the supervision of more experienced coders, learning industry coding standards and guidelines such as ICD-10-CM. Strong attention to detail, understanding of medical terminology, and compliance with regulations are important aspects of this job.

What are the primary challenges faced by entry level Optum Health coding risk adjustment specialists, and how can new hires successfully navigate them?

Entry-level coders in Optum Health's risk adjustment team often encounter challenges such as understanding complex medical terminology, accurately interpreting clinical documentation, and strictly adhering to coding guidelines. Additionally, adjusting to a fast-paced environment with productivity and quality targets can be demanding. New hires can succeed by participating in available training sessions, proactively seeking clarification from experienced team members, and regularly reviewing updated coding standards. Building strong communication with clinicians and fellow coders also helps ensure accuracy and efficiency in coding assignments.

What are the key skills and qualifications needed to thrive as an entry level Optum Health coding risk adjustment specialist, and why are they important?

To thrive in an Entry Level Optum Health Coding Risk Adjustment role, you typically need a basic understanding of medical terminology, ICD-10 coding, and healthcare documentation, often supported by a Certified Professional Coder (CPC) or similar certification. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment methodologies is important for daily tasks. Attention to detail, analytical thinking, and effective communication are vital soft skills for ensuring coding accuracy and collaborating with healthcare providers. These skills and qualifications are essential to ensure precise risk adjustment coding, compliance with regulations, and the financial integrity of healthcare organizations.

What is the difference between Entry Level Optum Health Coding Risk Adjustment vs Entry Level Medical Coding Specialist?

AspectEntry Level Optum Health Coding Risk AdjustmentEntry Level Medical Coding Specialist
CertificationsCPR, CPC or equivalent preferredCPC or CCS certification often required
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, outpatient facilities
Job FocusRisk adjustment coding for insurance reimbursement and risk managementClinical coding for medical procedures and diagnoses
Industry UsageHealth insurance, managed careHealthcare providers, hospitals

Entry Level Optum Health Coding Risk Adjustment roles focus on coding for insurance risk adjustment, requiring knowledge of payer guidelines. Entry Level Medical Coding Specialists primarily code clinical procedures and diagnoses for patient records. While both roles involve medical coding, the former emphasizes insurance and risk management, whereas the latter centers on clinical documentation. Understanding these differences helps job seekers target the right position based on their skills and career goals.

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Tennessee?

The most popular types of Optum Health Coding Risk Adjustment jobs in Tennessee are:

What are popular job titles related to Entry Level Optum Health Coding Risk Adjustment jobs in Tennessee?

For Entry Level Optum Health Coding Risk Adjustment jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Entry Level Optum Health Coding Risk Adjustment jobs in Tennessee look for?

The top searched job categories for Entry Level Optum Health Coding Risk Adjustment jobs in Tennessee are:

Entry Level Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Entry Level Optum Health Coding Risk Adjustment job openings in Tennessee as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 13% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

CODER ANALYST

Covenant Health

Knoxville, TN • On-site

Full-time

Posted 29 days ago

Job description

Overview
Coding Analyst, Centralized Coding Outpatient
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health Overview:
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for clarification of documentation for coding. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Business Office in timely billing of patient information.
Responsibilities
  • Reviews medical records to determine the ICD-10 CM, ICD-10 PCS and CPT codes to be utilized, in accordance with coding and reimbursement guidelines.
  • Verifies data in the medical record abstract and accurately abstracts and enters clinical information from the medical records, to ensure the integrity of the database.
  • Appropriately utilizes current UHDDS standards in the proper selection and assignment of the principal diagnosis, principal procedure, complications and cormorbid conditions.
  • Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are coded in a timely manner.
  • Reviews case mix reports on a weekly basis and follow-up on any record requiring re-review.
  • Participates in coding and abstracting quality reviews as required.
  • Assists physicians and clarifies coding versus clinical issues.
  • Assists other coders with coding questions to ascertain the most appropriate codes for billing and statistical information; refers coding questions to the Unit Leader, as necessary.
  • Contacts physicians for clarification when necessary.
  • Completes interim billing on rehabilitation and transitional care unit patients as requested by the Business Office.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate's degree. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
None
Licensure Requirement:
None

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