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From Home Optum Health Coding Risk Adjustment Jobs in Nevada

... from home health to ensure smooth transitions of care. The position provides services to adult and geriatric clients. Nature and Scope The Home Health RN is responsible to provide short-term, acute ...

... from home health to ensure smooth transitions of care. The position provides services to adult and geriatric clients. Nature and Scope The Home Health RN is responsible to provide short-term, acute ...

Home Health RN

Reno, NV ยท On-site

... from home health to ensure smooth transitions of care. The position provides services to adult and geriatric clients. Nature and Scope The Home Health RN is responsible to provide short-term, acute ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... from home health to ensure smooth transitions of care. The position provides services to adult and geriatric clients. Nature and Scope The Home Health RN is responsible to provide short-term, acute ...

Home Health RN

Reno, NV ยท On-site

$34.67 - $52.01/hr

... from home health to ensure smooth transitions of care. The position provides services to adult and geriatric clients. Nature and Scope The Home Health RN is responsible to provide short-term, acute ...

Home Health RN

Reno, NV ยท On-site

$34.67 - $52.01/hr

... from home health to ensure smooth transitions of care. The position provides services to adult and geriatric clients. Nature and Scope The Home Health RN is responsible to provide short-term, acute ...

Supervisor of Coding

Reno, NV ยท On-site

$36.12 - $50.56/hr

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

Supervisor of Coding

Reno, NV ยท On-site

$36.12 - $50.56/hr

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

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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 Nevada? The most popular types of Optum Health Coding Risk Adjustment jobs in Nevada are:
What are popular job titles related to From Home Optum Health Coding Risk Adjustment jobs in Nevada? For From Home Optum Health Coding Risk Adjustment jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching From Home Optum Health Coding Risk Adjustment jobs in Nevada look for? The top searched job categories for From Home Optum Health Coding Risk Adjustment jobs in Nevada are:
What cities in Nevada are hiring for From Home Optum Health Coding Risk Adjustment jobs? Cities in Nevada with the most From Home Optum Health Coding Risk Adjustment job openings:
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.
Physician, Post Acute - Institutional Special Needs Plan (Las Vegas, NV)

Physician, Post Acute - Institutional Special Needs Plan (Las Vegas, NV)

CareMore Health

Las Vegas, NV โ€ข On-site

$97K - $133K/yr

Full-time

Re-posted 5 days ago


Job description

Job Description Summary
With nearly 30 years of experience in providing advanced primary care, CareMore Health delivers exceptional patient experiences. Compassionate clinicians take the time to understand each patient's unique health needs while also removing barriers to access. Patients trust us to receive the right personalized care where and when they need it - in our care centers, at home or virtually - to improve their health outcomes and quality of life.
How will you make an impact & Requirements
Sign-on Bonus: Primary Care Physician - ISNP (Institutional Special Needs Plan) Las Vegas, NV
The Primary Care Physician (PCP), ISNP is responsible for providing comprehensive, patient-centered primary care to a complex senior population enrolled in CareMore's Institutional Special Needs Plan (ISNP) program. This role partners closely with an interdisciplinary care team to deliver high-quality, value-based care with a focus on improving clinical outcomes, reducing avoidable hospitalizations, and supporting patients in long-term care (LTC), skilled nursing facilities (SNF), and other institutional settings.
The physician provides longitudinal care management, completes timely assessments, coordinates transitions of care, and supports CareMore's mission of improving the health and well-being of vulnerable populations through proactive and evidence-based care.
Key Responsibilities:
Clinical Care & Patient Management:
  • Deliver high-quality primary care services to ISNP members with complex
  • chronic conditions in institutional settings (e.g., SNF/LTC).
  • Conduct comprehensive patient assessments, including admission evaluations,
  • routine follow-ups, and acute visits as clinically indicated.
  • Develop and manage individualized care plans, including chronic disease
  • management and preventive care interventions.
  • Provide timely diagnosis and treatment while aligning with evidence-based
  • guidelines and CareMore clinical protocols.

Care Coordination & Transitions of Care
  • Coordinate care with nurses, care managers, social workers, specialists, facility
  • staff, and other interdisciplinary team members.
  • Manage transitions of care including post-acute follow-ups, hospital discharges,
  • readmission prevention, and medication reconciliation.
  • Collaborate with patients and families to support care goals, advanced care
  • planning, and health education.

Documentation & Compliance
  • Ensure accurate, thorough, and timely documentation in the electronic medical
  • record (EMR).
  • Complete required documentation supporting quality, risk adjustment, and
  • program compliance.
  • Follow all regulatory requirements and internal policies related to CMS, ISNP
  • standards, and institutional care.

Quality, Outcomes & Value-Based Care
  • Support achievement of clinical and quality outcomes including preventive
  • screenings, chronic disease measures, and patient experience.
  • Participate in initiatives aimed at reducing avoidable emergency department
  • visits, readmissions, and total cost of care.
  • Contribute to continuous improvement efforts through participation in clinical
  • reviews, team huddles, and process improvement work.

Professional Practice & Team Collaboration
  • Demonstrate clinical leadership and act as a trusted partner to the care team and
  • facility partners.
  • Participate in interdisciplinary case conferences, care planning meetings, and
  • clinical operations discussions as needed.
  • Maintain a culture of compassion, respect, accountability, and excellence in
  • patient care.

Minimum Qualifications:
  • MD or DO from an accredited medical school.
  • Completion of an accredited residency program in Family Medicine, Internal
  • Medicine, or Geriatrics (preferred)
  • Current, unrestricted medical license in the state of practice (or ability to obtain).
  • Board Certified or Board Eligible in Family Medicine or Internal Medicine.
  • DEA license

Preferred Qualifications
  • 2+ years of experience providing primary care to seniors and/or medically
  • complex populations.
  • Experience providing care in institutional settings such as Skilled Nursing
  • Facilities (SNF), Long-Term Care (LTC), Assisted Living or post-acute
  • environments
  • Knowledge of value-based care models, Medicare Advantage, HEDIS, Stars, and
  • risk adjustment/HCC documentation.
  • Comfort working collaboratively in a multidisciplinary care model.
  • Strong communication and relationship-building skills with patients, families, and
  • facility partners.

Work Environment & Physical Requirements
  • Primarily facility-based and/or field-based in institutional settings.
  • May require travel between assigned facilities and/or CareMore locations.
  • Ability to sit, stand, and walk throughout the workday and perform required
  • patient assessments.
  • Ability to work with standard office and clinical equipment.

Core Competencies
  • Patient-centered care with a commitment to service excellence
  • Clinical quality and evidence-based decision making
  • Strong collaboration and interdisciplinary teamwork
  • Accountability and integrity
  • Efficient documentation and attention to detail
  • Adaptability in a fast-paced healthcare environment

Compensation:
$211,369.00
to
$317,053.00