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From Home Optum Health Coding Risk Adjustment Jobs in Texas

Risk Adjustment Coding Auditor

Prosper, TX · On-site

$25 - $28.50/hr

Risk Adjustment Coding Auditor Quantity of resources: 2 Duration: 6 months JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV'

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

... Health or from Harris County taxpayers. Job Profile JOB SUMMARY The Risk Adjustment Coder II ... provides advanced support for complex medical record reviews to ensure the correct capture of ...

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/hr

... Health or from Harris County taxpayers. Job Profile JOB SUMMARY The Risk Adjustment Coder II ... provides advanced support for complex medical record reviews to ensure the correct capture of ...

Auditor, Risk Adjustment

Dallas, TX · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... While your daily work will be completed from your home office, occasional travel may be required ...

Manager of Risk Adjustment Upward Health is an in-home, multidisciplinary medical group providing ... Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and ...

Job Requirements 2+ years of experience in outpatient coding 2+ years focused on risk adjustment ... Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart ® ...

Value Based Coder II

Houston, TX

$18 - $23.75/hr

Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart ® ... coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and ...

Certified Medical Coder

Houston, TX

$21.50 - $29.25/hr

Codes all diagnoses and services accurately and completely, from the medical record in accordance ... Certified Risk Adjustment Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health ...

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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.
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Risk Adjustment Coding Auditor

Vytwo

Prosper, TX • On-site

$25 - $28.50/hr

Full-time

Posted 7 days ago


Job description

Role type: Risk Adjustment Coding Auditor
Quantity of resources: 2
Duration: 6 months
JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's.
Required skillset:
MS Suite
CPC certified
CRC certified
5+ years of risk adjustment experience