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From Home Optum Health Coding Risk Adjustment Jobs in Wisconsin

Epic healthcare software and/or system knowledge of Optum CES or Claritev ACE claim editing systems ... from home. We offer an excellent benefit and compensation package, opportunity for career ...

Epic healthcare software and/or system knowledge of Optum CES or Claritev ACE claim editing systems ... from home. We offer an excellent benefit and compensation package, opportunity for career ...

Epic healthcare software and/or system knowledge of Optum CES or Claritev ACE claim editing systems ... from home. We offer an excellent benefit and compensation package, opportunity for career ...

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

We are inspired to reinvent health care by becoming a proactive partner in health, enriching the ... Creates mitigation plan to reduce future risk. * Manages and maintains coding inventory ...

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

We are inspired to reinvent health care by becoming a proactive partner in health, enriching the ... Creates mitigation plan to reduce future risk. * Manages and maintains coding inventory ...

PB Coding Coordinator

Madison, WI · On-site

$31.01 - $48.84/hr

Functionally work within Microsoft Office Suite products & Optum Encoder Pro. * Provides education ... Promotes mission, vision, and values of Intermountain Health, and abides by service behavior ...

WI · On-site

$200 - $300/hr

... coding for risk adjustment. * Participate in multidisciplinary meetings and quality improvement ... O.) from an accredited institution. * Board Certified or Board Eligible in Family Medicine or ...

Showing results 21-40

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.

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For From Home Optum Health Coding Risk Adjustment jobs in Wisconsin, the most frequently searched job titles are:

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Cities in Wisconsin with the most From Home Optum Health Coding Risk Adjustment job openings:

Medical Coding Specialist II - Profee Radiology

UW Health

Middleton, WI • On-site

Other

Medical, Dental, Retirement, PTO

Re-posted 29 days ago


UW Health rating

7.9

Company rating: 7.9 out of 10

Based on 224 frontline employees who took The Breakroom Quiz

107th of 891 rated healthcare providers


Job description

Work Schedule:
This is a full-time, 1.0 FTE position that is 100% remote. This will have flexible shifts scheduled Monday - Friday and will be discussed in the interview. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.

To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.

Approved Remote Work States Listing

Be part of something remarkable


Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II to:

  • Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes.
  • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

At UW Health, you will have:

  • An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
  • Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
  • Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
  • Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

Qualifications

  • Medical coding education Required or In lieu of a medical coding education, an active coding certification Required
  • High School Diploma or equivalent Preferred
  • Associate's Degree in a healthcare related field Preferred

Work Experience

  • 1 year of progressive coding experience (For HCC-specific roles, experience must be specific to HCC) Required
  • 2 years progressive coding experience in multiple specialties, HCC Risk adjustment Coding Preferred

Licenses & Certifications

  • Certified Professional Coder (CPC) Upon Hire Required or
  • Certified Outpatient Coder (COC) Upon Hire Required or
  • Certified Inpatient Coder (CIC) Upon Hire Required or
  • Certified Coding Specialist (CCS) Upon Hire Required or
  • Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required or
  • Certified Coding Associate (CCA) Upon Hire Required or
  • Certified Risk Adjustment Coder (CRC) Upon Hire Required or
  • Registered Health Information Technician (RHIT) Upon Hire Required or
  • Registered Health Information Administrator (RHIA) Upon Hire Required
  • Registered Health Information Technician (RHIT) Preferred or
  • Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description

UW Medical Foundation Benefits


What UW Health employees say

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Benefits

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About UW Health

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UW Health Clinics - our physicians and staff are dedicated to providing an exceptional patient and family experience by delivering the highest quality of care in a compassionate environment. With more than 80 primary and specialty care clinics located throughout Dane County and the surrounding areas, we are proud to have the opportunity to impact the communities we serve.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Madison, WI, US