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From Home Optum Health Coding Risk Adjustment Jobs in Texas

Apex Health Solutions

Certified Medical Coder

Houston, TX · On-site

$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 ...

St Luke's Health

Value Based Coder II

Houston, TX

$25.30 - $35.74/hr

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

Datavant

Client Coding Project Manger (CCPM)

Dallas, TX

$7.5K/mo

... health plans, researchers, and life sciences companies. From fulfilling a single patient's request ... Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

... home based temporary positions forecast to run through the end of 2015 and Coders will be paid by ... Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

... home based temporary positions forecast to run through the end of 2015 and Coders will be paid by ... Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

RHIA - Registered Health Information Administrator (AHIMA) or * RHIT - Registered Health ... CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · Remote

$21.50 - $28.50/hr

RHIA - Registered Health Information Administrator (AHIMA) or * RHIT - Registered Health ... CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ...

UTMB Health

Senior Coder - RCO Coding (Remote)

Galveston, TX · On-site +1

$21.50 - $28.50/hr

RHIA - Registered Health Information Administrator (AHIMA) or * RHIT - Registered Health ... CRC - Certified Risk Adjustment Coder (AAPC) JOB SUMMARY: Properly codes and/or audits professional ...

Elevance Health

Coding Analyst Sr.

Austin, TX

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology ... Health only accepts resumes for compensation from agencies that have a signed agreement with ...

Elevance Health

Coding Analyst Sr.

Austin, TX

... Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from ...

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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 Texas

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
Certified Medical Coder

Certified Medical Coder

Apex Health Solutions

Houston, TX • On-site

$21.50 - $29.25/hr

Full-time

Re-posted yesterday

Job description

Description
Summary
Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements.
Key Responsibilities
  • Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application

  • Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission

  • Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system

  • Selects and accurately records all appropriate records and data on assigned chart abstraction projects

  • Ability to meet productivity and accuracy requirements

  • Performs other duties as assigned

Qualifications
  • High School Diploma or GED required

  • A certification in one of the following is required:

  • Certified Professional Coder (CPC)

  • Certified Risk Adjustment Coder (CRC)

  • Certified Coding Specialist (CCS)

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Administrator (RHIA)

  • Minimum of three (3) years HCC experience performing concurrent and retrospective risk adjustment chart reviews required

  • Current AAPC or AHIMA credential required

  • Risk Adjustment / HCC knowledge required

  • Managed Care experience preferred

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