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From Home Optum Health Coding Risk Adjustment Jobs in Utah

AAPC

PACE Risk Adjustment Coder

Salt Lake City, UT · On-site +1

Prepare coding reports using excel * Prepare oral and/or written reports of work activity to ... health information. Follow HIPAA security policies and procedures affecting your job, and report ...

UnitedHealth Group

Credit Risk Analyst

Draper, UT · On-site

... health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Optum Bank Credit Risk Analyst will be responsible for assessing the credit risks that arise from the ...

UnitedHealth Group

Credit Risk Analyst

Draper, UT

... health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Optum Bank Credit Risk Analyst will be responsible for assessing the credit risks that arise from the ...

Mira Home

Insurance & Risk Manager

Lindon, UT · On-site

At Mira Home, we're building a high-performance team focused on operational excellence ... Coordinate workers' compensation claims from incident reporting through resolution * Manage ...

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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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From Home Optum Health Coding Risk Adjustment jobs near you
PACE Risk Adjustment Coder

PACE Risk Adjustment Coder

AAPC

Salt Lake City, UT • On-site, Remote

Contractor

Posted 26 days ago

Job description

This is a remote contract position.
Job Duties:
  • Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment
  • Meet department production and quality standards
  • Research regulatory guidelines for supporting documentation
  • Prepare coding reports using excel
  • Prepare oral and/or written reports of work activity to Supervisor
  • Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach
  • Other duties as assigned

Minimum Requirements:
  • Minimum 3 years of PACE risk adjustment coding experience
  • Extensive ICD-10-CM coding experience, with Risk Adjustment models for PACE
  • Excellent written and verbal communication skills
  • Ability to "own" project and complete charts assigned in work queue daily
  • Detail oriented and deadline driven attitude
  • Ability to think critically and determine the best method for completing tasks
  • Strong computer skills (Excel, Word, EMR systems, and internet)
  • Ability to multitask and keep a sense of urgency
  • Strong time management, organization skills, and work ethic

Certification Requirements:
  • CRC and 3 years' experience coding risk adjustment
Attributes:
  • Humble - Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
  • Supportive - Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
  • Driven - Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
  • Transparent - Aligned with a culture of openness, integrity, and trustworthiness. Follows through on commitments to internal and external parties. Maintains strict accountability and values the trust placed in them by others.
  • Innovative - Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.

AAPC Services is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, handicap, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.

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