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From Home Optum Health Coding Risk Adjustment Jobs in California

Humana

Senior Coding Educator

Los Angeles, CA

$29.25 - $33.50/hr

Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...

Humana

Medical Coder Educator

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

... years of medical coding education and / or auditing in a healthcare setting experience ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

... years of medical coding education and / or auditing in a healthcare setting experience ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Medical Coder Educator

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

... years of medical coding education and / or auditing in a healthcare setting experience ... Medicare Risk Adjustment knowledge Additional Information Work at home - with travel (up to 5%) to ...

Humana

Senior Coding Educator

Los Angeles, CA · On-site

Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...

Humana

Senior Coding Educator

Los Angeles, CA · On-site

Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...

Humana

Senior Coding Educator

Los Angeles, CA · On-site

Experience interacting with healthcare providers * Medicare Risk Adjustment knowledge * Analyzing ... Employees who live and work from Home in the state of California, Illinois, Montana, or South ...

Urrly

Telehealth Nurse Practitioner

Los Angeles, CA · Remote

$600 - $720/day

Work from home in CA and earn $600-$720/day delivering telehealth visits on your schedule. Role ... Conduct telehealth Comprehensive Health Assessments * Document HCC (risk adjustment) during visits

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All JobsOptum Health Coding Risk Adjustment JobsFrom Home Optum Health Coding Risk Adjustment JobsFrom Home Optum Health Coding Risk Adjustment Jobs in California

From Home Optum Health Coding Risk Adjustment information

What is the difference between From Home Optum Health Coding Risk Adjustment vs From Home Optum Health Medical Coding?

AspectFrom Home Optum Health Coding Risk AdjustmentFrom Home Optum Health Medical Coding
CertificationsCCS, CPC, or RHIT/RHIACCS, CPC, or RHIT/RHIA
Work EnvironmentRemote, home-basedRemote, home-based
Industry UsageHealth insurance, risk adjustment programsHealthcare providers, hospital coding
Job FocusRisk adjustment coding for insurance accuracyClinical coding for medical records

While both roles involve medical coding from home, From Home Optum Health Coding Risk Adjustment focuses on coding for insurance risk adjustment programs, requiring specific risk adjustment knowledge. In contrast, From Home Optum Health Medical Coding emphasizes clinical coding for medical records, often in hospital or provider settings. Both roles require similar certifications and offer remote work, but their primary focus and industry applications differ.

Does Optum allow remote work?

Optum Health Coding Risk Adjustment roles typically offer remote work options, allowing employees to perform their duties from home. These positions often require familiarity with coding software and adherence to healthcare privacy standards, with flexible schedules in many cases.

What is an Optum HCC coder job description?

An Optum HCC coder is responsible for reviewing and abstracting medical records to assign Hierarchical Condition Category (HCC) codes that reflect patient health status for risk adjustment. They ensure accurate coding in compliance with CMS guidelines, often using coding software and requiring knowledge of medical terminology and coding standards. The role typically involves remote work, attention to detail, and may require certification such as CPC or CCS.

How much can you make working from home as a medical coder?

Medical coders working from home, including those in risk adjustment roles like Optum Health Coding, typically earn between $40,000 and $70,000 annually, depending on experience, certifications, and workload. Advanced skills and certifications such as CPC or CCS can lead to higher pay, and remote positions often offer flexible schedules and the use of coding software tools.

Will a medical coder be replaced by AI?

Medical coders, including those specializing in risk adjustment for health plans, perform complex tasks that require understanding medical records and applying coding guidelines. While AI tools can assist with coding accuracy and efficiency, they are unlikely to fully replace human coders due to the need for clinical judgment and nuanced decision-making. Coders with skills in coding systems like ICD-10 and familiarity with electronic health records remain essential in the industry.
What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in California? The most popular types of Optum Health Coding Risk Adjustment jobs in California are:
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From Home Optum Health Coding Risk Adjustment jobs near you
Certified Coder (Risk Adjustment Experience) - REMOTE

Certified Coder (Risk Adjustment Experience) - REMOTE

Molina Healthcare

Long Beach, CA • On-site, Remote

$17.85 - $38.69/hr

Full-time

Posted 11 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 281 rated insurance

Job description


JOB DESCRIPTION Job SummaryProvides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials.
• Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately.
• Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff.
• Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment.
• Builds positive relationships between providers and the business by providing coding assistance as needed.
• Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education.
• Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors.
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry.
Required Qualifications• At least 2 years medical coding experience, or equivalent combination of relevant education and experience.
• Certified Professional Coder (CPC).
• Certified Coding Specialist (CCS).
• Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge.
• Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Ability to effectively interface with staff, clinicians, and management.
• Excellent verbal and written communication skills.
• Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
• Certified Risk Adjustment Coder (CRC).
• Certified Professional Payer - Payer (CPC-P).
• Certified Coding Specialist - Physician Based (CCS-P).
• Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model.
• Background in supporting risk adjustment management activities and clinical informatics.
• Experience with risk adjustment data validation.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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