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From Home Optum Health Coding Risk Adjustment Jobs in Sumter, SC

Your Health

Director of Medical Coding

Columbia, SC · On-site

$20.75 - $28.50/hr

... Risk Adjustment. - Proven experience in providing education and training to staff coders and healthcare providers. - Strong leadership, communication, and interpersonal skills. - Ability to work ...

Elevance Health

Coding Analyst Sr.

Columbia, SC · On-site

... 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 ...

Elevance Health

Coding Analyst Sr.

Columbia, SC · On-site

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 ...

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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 Sumter, SC

From Home Optum Health Coding Risk Adjustment information

See Sumter, SC salary details

$15

$19

$21

How much do from home optum health coding risk adjustment jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for from home optum health coding risk adjustment in Sumter, SC is $19.15, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $20.34 per hour, depending on experience, location, and employer.

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.

What cities near Sumter, SC are hiring for From Home Optum Health Coding Risk Adjustment jobs?

Cities near Sumter, SC with the most From Home Optum Health Coding Risk Adjustment job openings:

From Home Optum Health Coding Risk Adjustment jobs near you
Infographic showing various From Home Optum Health Coding Risk Adjustment job openings in Sumter, SC as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 24% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,830 per year, or $19.1 per hour.

Director of Medical Coding

your health organization

Columbia, SC • On-site

$20.75 - $28.50/hr

Full-time

Posted 19 days ago

Job description

Summary:

We are seeking an experienced and certified professional to join our team as the Director of Medical Coding. The ideal candidate will have 3-5 years of experience in medical coding, with a proven track record of leadership and providing education to staff coders and providers. This individual will possess comprehensive knowledge of Hierarchical Condition Categories (HCC)/Risk Adjustment and medical coding practices.

Key Responsibilities:

Leadership and Management:

- Lead and manage the medical coding team, ensuring efficient and accurate coding practices.

- Provide ongoing education and training to staff coders and healthcare providers to maintain high coding standards.

- Develop and implement coding policies and procedures to ensure compliance with industry regulations and guidelines.

Coding Quality and Compliance:

- Oversee the accuracy and integrity of coding processes, ensuring compliance with all relevant regulations and standards.

- Conduct regular audits and quality assurance reviews to identify areas for improvement and implement corrective actions as needed.

- Stay updated on the latest coding guidelines, industry trends, and regulatory changes, and communicate these updates to the coding team and providers.

Education and Training:

- Design and deliver educational programs and training sessions for coders and healthcare providers to enhance their knowledge and skills in medical coding.

- Develop training materials, manuals, and resources to support continuous learning and professional development.

HCC/Risk Adjustment Expertise:

- Ensure accurate coding and documentation for HCC/Risk Adjustment to optimize reimbursement and support value-based care initiatives.

- Collaborate with clinical and administrative teams to improve documentation practices and capture all relevant diagnoses and conditions.

Strategic Planning and Implementation:

- Contribute to the development and execution of strategic plans to enhance the efficiency and effectiveness of the medical coding department.

- Work closely with senior leadership to align coding practices with organizational goals and objectives.

Qualifications:

- Professional certification in medical coding (e.g., CPC, CCS, or equivalent).

- 3-5 years of experience in medical coding, with a minimum of 2 years in a leadership role.

- In-depth knowledge of medical coding guidelines, including ICD-10, CPT, and HCC/Risk Adjustment.

- Proven experience in providing education and training to staff coders and healthcare providers.

- Strong leadership, communication, and interpersonal skills.

- Ability to work collaboratively with multidisciplinary teams and manage multiple priorities effectively.

- Detail-oriented with a strong commitment to accuracy and compliance.

Preferred Qualifications:

- Bachelor's degree in Health Information Management, Healthcare Administration, or a related field.

- Experience with electronic health records (EHR) and coding software systems.

- Advanced certifications in medical coding or healthcare management.

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