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From Home Optum Health Coding Risk Adjustment Jobs in Nevada

P3 Health Partners

MRA Adjustment Analyst

Henderson, NV · On-site

$70K - $80K/yr

... of health care, transforming it from sickness care into wellness guidance. If you are passionate ... Home Assessment initiatives * Identify provider education opportunities based on coding results ...

Renown Health

Coding Lead

Reno, NV · Remote

... Home Health as well as Hospice. ICD-9-CM/ICD-10-CM/PCS and CPT code assignments must be consistent ... Telecommuting is allowed with approval from HIM Management. KNOWLEDGE, SKILLS & ABILITIES

Renown Health

Coding Lead

Reno, NV · On-site

$32.76 - $45.87/hr

... Home Health as well as Hospice. ICD-9-CM/ICD-10-CM/PCS and CPT code assignments must be consistent ... Telecommuting is allowed with approval from HIM Management. KNOWLEDGE, SKILLS & ABILITIES

Renown Health

Coding Lead

Reno, NV · Remote

... Home Health as well as Hospice. ICD-9-CM/ICD-10-CM/PCS and CPT code assignments must be consistent ... Telecommuting is allowed with approval from HIM Management. KNOWLEDGE, SKILLS & ABILITIES

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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 Nevada

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.
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From Home Optum Health Coding Risk Adjustment jobs near you
Infographic showing various From Home Optum Health Coding Risk Adjustment job openings in Nevada as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
MRA Adjustment Analyst

MRA Adjustment Analyst

P3 Health Partners

Henderson, NV • On-site

$70K - $80K/yr

Full-time

Re-posted 29 days ago

P3 Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.

Overall Purpose

The Market MRA Analyst works closely vendor partners, health plans & designated market team to build member level insights to inform strategic market interventions. This position requires someone who is adept at problem solving, seeing the big picture and the ability to communicate effectively with internal & external constituents.

Essential Functions

  • Dashboard Development & Maintenance
    • Work with vendors and internal teams on ensuring accuracy of data being presented
    • Ensure continued evolution of dashboard development both externally and internally
    • Continuously monitor dashboards for assigned market for insights to performance improvement
  • Strategic Initiative Guidance
    • Respond to requests for analysis and provide analytic support to the Market Leaders
    • Work with vendors and markets to approve and manage target lists for Chart Reviews
    • Monitor the performance of the Prospective program to identify areas for improvement
    • Work with Market teams and MRA leadership to identify strategies to implement In Home Assessment initiatives
    • Identify provider education opportunities based on coding results, queries, prospective performance and/or prevalence  

Knowledge, Skills and Abilities

  • Proficiency in SQL
  • Strong communication and strong written skills as well as proficiency with Microsoft Power Point
  • Working knowledge of the provider-based healthcare industry, claims processing, provider billing or Risk Adjustment or Medicare Advantage strongly preferred
  • Self-motivated, creative problem solver who can work independently, see the bigger picture and collaborate through strong communication and interpersonal skills
  • Strong project management experience and ability to handle multiple projects in a fast-paced environment.

Experience

  • At least 5 years previous work experience within risk adjustment.

Education

  • Bachelor’s degree from an accredited institution.

Travel Details

  • Periodic travel to Corporate Headquarters
  • Ad hoc travel to Markets or other partner locations

Work Location & Schedule
This role offers either a hybrid or fully remote work arrangement. Candidates within a 50mile radius of a company office will follow our hybrid schedule, working on-site three days per week. Candidates located outside this radius will work remotely, with occasional travel to offices for meetings or key events.

Pay Range:  $70,000-80,000 depending on experience

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