Support annual, quarterly, and ad hoc ICD-10, CPT, and HCPCS coding updates received from CMS ... Optum Encoder, Other medical coding software platforms 3+ years of clinical experience in a health ...
Support annual, quarterly, and ad hoc ICD-10, CPT, and HCPCS coding updates received from CMS ... Optum Encoder, Other medical coding software platforms 3+ years of clinical experience in a health ...
... every home, every conversation. Every day, we serve approximately 1,500 patients living with ... Extracts Merit-based Incentive Payment System (MIPS) quality improvement measures from provider ...
... every home, every conversation. Every day, we serve approximately 1,500 patients living with ... Extracts Merit-based Incentive Payment System (MIPS) quality improvement measures from provider ...
Medical Coding Specialist (0.8 FTE)
Baldwin, WI ยท On-site +1
The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic ... Working residence/home must be in the state of Wisconsin to be eligible to work from home Preferred ...
Medical Coding Specialist (0.8 FTE)
Baldwin, WI ยท On-site +1
The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic ... Working residence/home must be in the state of Wisconsin to be eligible to work from home Preferred ...
Medical Coder - Inpatient Coding
Clinton, MS ยท On-site
$16.25 - $21.75/hr
One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire ...
Medical Coder - Inpatient Coding
Clinton, MS ยท On-site
$16.25 - $21.75/hr
One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire ...
Coding Auditor
Seattle, WA ยท Remote
$31 - $35.25/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... medical office setting * Requires one of the following coding certifications from either the ...
Coding Auditor
Seattle, WA ยท Remote
$31 - $35.25/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... medical office setting * Requires one of the following coding certifications from either the ...
Medical Coding Automation Senior Associate
Belfast, ME ยท On-site
$66K - $112K/yr
Medical Coding Automation Senior Associate We are looking for a Medical Coding Automation Senior ... CPC and/or CCS certification from AAPC or AHIMA required. * Experience working cross-functionally ...
Medical Coding Automation Senior Associate
Belfast, ME ยท On-site
$66K - $112K/yr
Medical Coding Automation Senior Associate We are looking for a Medical Coding Automation Senior ... CPC and/or CCS certification from AAPC or AHIMA required. * Experience working cross-functionally ...
Remote OBGYN Professional Coding Auditor
New York, NY ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Quick apply
Remote OBGYN Professional Coding Auditor
New York, NY ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Remote OBGYN Professional Coding Auditor
Washington, DC ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Quick apply
Remote OBGYN Professional Coding Auditor
Washington, DC ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Remote OBGYN Professional Coding Auditor
Boston, MA ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Quick apply
Remote OBGYN Professional Coding Auditor
Boston, MA ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Medical Coding Automation Senior Associate
$66K - $112K/yr
Medical Coding Automation Senior Associate We are looking for a Medical Coding Automation Senior ... CPC and/or CCS certification from AAPC or AHIMA required. * Experience working cross-functionally ...
Medical Coding Automation Senior Associate
$66K - $112K/yr
Medical Coding Automation Senior Associate We are looking for a Medical Coding Automation Senior ... CPC and/or CCS certification from AAPC or AHIMA required. * Experience working cross-functionally ...
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Remote OBGYN Professional Coding Auditor
Chicago, IL ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
Quick apply
Remote OBGYN Professional Coding Auditor
Chicago, IL ยท Remote
$50 - $70/hr
It is one thing to have the freedom to work from home, but TCN auditors possess the freedom to ... TCN's 850+ US based coders cover over 55 medical specialties and subspecialties for clients in all ...
$32.32 - $53.32/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... medical office setting * Requires one of the following coding certifications from either the ...
$32.32 - $53.32/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... medical office setting * Requires one of the following coding certifications from either the ...
This is a remote, work-from-home position. The Medical Coding Specialist works Monday-Friday, 8:00 a.m. - 4:30 p.m. Eastern Time. Essential Duties and Responsibilities: * Review claims thoroughly to ...
This is a remote, work-from-home position. The Medical Coding Specialist works Monday-Friday, 8:00 a.m. - 4:30 p.m. Eastern Time. Essential Duties and Responsibilities: * Review claims thoroughly to ...
Dermatologist- Optum NY
Huntington, NY ยท On-site
$358K - $701K/yr
As a Patient Centered Medical Home, Optum Tri-State can provide patient-focused medical care to the ... from $358,000 - $701,500. Total cash compensation includes base pay and bonus and is based on ...
Dermatologist- Optum NY
Huntington, NY ยท On-site
$358K - $701K/yr
As a Patient Centered Medical Home, Optum Tri-State can provide patient-focused medical care to the ... from $358,000 - $701,500. Total cash compensation includes base pay and bonus and is based on ...
Physician Coding Educator
$75K - $100K/yr
... from women's health to endocrinology and psychiatry. We also provide nursing home support, care ... Whether you're a medical provider, administrator, or operations professional, there's a career here ...
Physician Coding Educator
$75K - $100K/yr
... from women's health to endocrinology and psychiatry. We also provide nursing home support, care ... Whether you're a medical provider, administrator, or operations professional, there's a career here ...
Medical Coding Team Lead
Dodgeville, WI ยท Remote
$23.25 - $31.75/hr
Medical Coding Team Lead Location: Upland Hills Health - Dodgeville Hospital Campus *Please note ... Current certification from AHIMA or AAPC , such as: * Certified Coding Specialist (CCS) * Certified ...
Medical Coding Team Lead
Dodgeville, WI ยท Remote
$23.25 - $31.75/hr
Medical Coding Team Lead Location: Upland Hills Health - Dodgeville Hospital Campus *Please note ... Current certification from AHIMA or AAPC , such as: * Certified Coding Specialist (CCS) * Certified ...
Medical Coding Specialist (31620)
Mount Laurel, NJ ยท Remote
$25 - $28/hr
Exam Works is looking for a Medical Coding Specialist to join our team remotely! *Must possess ... Handle and responds promptly to incoming calls, emails or faxes from clients requesting report ...
Medical Coding Specialist (31620)
Mount Laurel, NJ ยท Remote
$25 - $28/hr
Exam Works is looking for a Medical Coding Specialist to join our team remotely! *Must possess ... Handle and responds promptly to incoming calls, emails or faxes from clients requesting report ...
Medical Coding Specialist (31620)
Mount Laurel, NJ ยท Remote
$25 - $28/hr
Exam Works is looking for a Medical Coding Specialist to join our team remotely! *Must possess ... Handle and responds promptly to incoming calls, emails or faxes from clients requesting report ...
Medical Coding Specialist (31620)
Mount Laurel, NJ ยท Remote
$25 - $28/hr
Exam Works is looking for a Medical Coding Specialist to join our team remotely! *Must possess ... Handle and responds promptly to incoming calls, emails or faxes from clients requesting report ...
Medical Coder Inpatient Coding PRN
Jackson, MS ยท Remote
$16.25 - $21.75/hr
One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire ...
Medical Coder Inpatient Coding PRN
Jackson, MS ยท Remote
$16.25 - $21.75/hr
One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire ...
From Home Optum Medical Coding information
See salary details
$15.38 - $17.44
4% of jobs
$17.44 - $19.49
10% of jobs
$19.49 - $21.55
11% of jobs
$21.60 is the 25th percentile. Wages below this are outliers.
$21.55 - $23.60
22% of jobs
The median wage is $24.16 / hr.
$23.60 - $25.66
12% of jobs
$25.66 - $27.71
11% of jobs
$28.84 is the 75th percentile. Wages above this are outliers.
$27.71 - $29.76
11% of jobs
$29.76 - $31.82
10% of jobs
$31.82 - $33.87
5% of jobs
$33.87 - $35.93
3% of jobs
$35.93 - $37.98
2% of jobs
$15
$26
$37
How much do from home optum medical coding jobs pay per hour?
Can you do medical coding work from home?
Does Optum give work from home?
What is the salary range for Optum remote jobs?
Does Optum provide work from home equipment?
What is the difference between From Home Optum Medical Coding vs From Home Medical Billing Specialist?
| Aspect | From Home Optum Medical Coding | From Home Medical Billing Specialist |
|---|---|---|
| Certifications | CPMA, CPC, CCS | Certified Professional Biller (CPB), CPC |
| Work Environment | Remote, home-based | Remote, home-based |
| Industry Usage | Healthcare, insurance companies, hospitals | Healthcare providers, billing companies |
| Job Focus | Medical coding, diagnosis and procedure coding | Billing, claims submission, payment processing |
From Home Optum Medical Coding involves assigning standardized codes to medical diagnoses and procedures, primarily focusing on accurate coding for insurance and billing purposes. In contrast, from Home Medical Billing Specialist handles the billing process, including submitting claims and following up on payments. Both roles are remote and require healthcare industry knowledge, but they differ in their core responsibilities and certifications.
Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote
Columbia, SC โข Remote
Contractor
Posted 9 days ago
Job description
Business Analyst - Clinical Analyst & Coding Specialist Location: Fully Remote Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Experience Required: 08+ Years Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Project Scope: We are seeking an experienced Business Analyst - Clinical Analyst & Coding Specialist to support Medicaid policy, coding analysis, claims processing, and MMIS initiatives for a large healthcare and government environment.
This role will serve as a subject matter expert (SME) supporting medical coding compliance, coding updates, policy remediation, and Medicaid business process improvements. The ideal candidate will have strong experience in medical coding, healthcare insurance operations, Medicaid claims processing, and payer systems, along with a clinical background and the ability to collaborate with both technical and business teams. This role will also contribute to future MMIS modernization and replacement initiatives.
Key Responsibilities: Serve as a subject matter expert (SME) for medical coding methodologies, Medicaid policy, and healthcare claims processing. Support annual, quarterly, and ad hoc ICD-10, CPT, and HCPCS coding updates received from CMS. Perform analysis of medical coding changes and assess impact on business processes, claims adjudication, and system functionality.
Conduct initial code reviews and determine the scope and business impact of coding updates. Prepare and distribute coding change listings for review by Medicaid program teams and reference administration staff. Collaborate with policy owners, stakeholders, developers, and business teams to support change requests and MMIS enhancements.
Participate in MMIS modernization and replacement project meetings, providing coding and business process expertise. Research business rules, operational requirements, and process models to develop recommendations and solutions. Maintain business rules, coding documentation, requirements repositories, and process documentation.
Facilitate meetings with agency personnel, stakeholders, and operational teams. Support policy remediation efforts and ensure alignment between coding standards and operational workflows. Assist with development and maintenance of training documentation and process materials.
May review patient records against established medical necessity criteria as backup support. Work collaboratively with cross-functional teams supporting Medicaid operations and healthcare initiatives. Required Skills & Experience: 5+ years of experience in healthcare insurance, medical review, program integrity, or appeals 5+ years of experience working with IT developers/programmers in a payer environment 5+ years of hands-on medical coding experience in a payer environment 5+ years of Strong expertise in ICD-10, CPT, and HCPCS coding methodologies and translation 5+ years of Strong understanding of anatomy, physiology, pharmacology, and medical terminology 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.) Experience supporting Medicaid operations and MMIS systems Strong analytical, documentation, and business requirements gathering skills Excellent written and verbal communication skills Proficiency with Microsoft Office Suite Preferred Skills: 5+ years of experience in policy remediation 5+ years of experience with claims processing systems 5+ years of Experience using: Optum Encoder, Other medical coding software platforms 3+ years of clinical experience in a healthcare environment Strong clinical assessment and critical-thinking skills Experience supporting government healthcare or managed care operations License Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse
Certification Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able to become certified within one year of employment. Education: Bachelor of Science in Nursing (BSN) OR Associate Degree in Nursing (ADN).