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Full Time Optum Health Coding Risk Adjustment Jobs in Gallup, NM

FDIHB

VOUCHER EXAMINER

Fort Defiance, AZ · On-site

$19.06 - $22.88/hr

... exhausted prior to adjustment process. * Reviews all Explanation of Benefits (EOB) and ... Patient Registration, Health Information Management, Coding, Patient Accounts and Accounts ...

New

FDIHB

VOUCHER EXAMINER

Fort Defiance, AZ · On-site

$19.06 - $22.88/hr

... exhausted prior to adjustment process. * Reviews all Explanation of Benefits (EOB) and ... Patient Registration, Health Information Management, Coding, Patient Accounts and Accounts ...

New

Red Rocks

Wound and Skin Health Team Lead, RN

Gallup, NM · On-site

$43.50 - $49.50/hr

Red Rocks Care Center seeks a full time Wound Nurse! Trade Up This Summer: Higher Pay, Better ... identifying risk factors, existing impairments, and coordinating necessary interventions and ...

O'Reilly Auto Parts

Parts Specialist

Gallup, NM · On-site

$16.50 - $22/hr

... adjustments, inventory cycle counts, etc. Operate brake lathe and other store test equipment after ... Team Member Health/Wellbeing Programs * Tuition Educational Assistance Programs * Opportunities for ...

BlueSky Telepsych

Psychiatrist (MD)

Fort Defiance, AZ · On-site

$130 - $240/hr

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health ... Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min ...

BlueSky Telepsych

Psychiatrist (MD)

Fort Defiance, AZ · On-site

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health ... Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min ...

BlueSky Telepsych

Psychiatrist (MD)

Gallup, NM · On-site

$130 - $240/hr

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health ... Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min ...

BlueSky Telepsych

Psychiatrist (MD)

Gallup, NM · On-site

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health ... Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min ...

BlueSky Telepsych

Psychiatrist (MD)

Gallup, NM · On-site

$130 - $240/hr

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health ... Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min ...

Blakes Lotaburger

Shift Manager

Gallup, NM · On-site

$15.25 - $16/hr

SHIFT MANAGER FULL-TIME (Up to 35 weekly hours), NON-EXEMPT Position Summary : The Shift Manager ... understand health codes and procedures for handling raw meat and eggs. - Must possess moderate ...

Blakes Lotaburger

Shift Manager

Gallup, NM · On-site

$15.25 - $16/hr

SHIFT MANAGER FULL-TIME (Up to 35 weekly hours), NON-EXEMPT Position Summary : The Shift Manager ... understand health codes and procedures for handling raw meat and eggs. - Must possess moderate ...

Blakes Lotaburger

Shift Manager

Gallup, NM · On-site

$15.25 - $16/hr

SHIFT MANAGER FULL-TIME (Up to 35 weekly hours), NON-EXEMPT Position Summary : The Shift Manager ... understand health codes and procedures for handling raw meat and eggs. - Must possess moderate ...

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All JobsOptum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment Jobs in Gallup, NM

Full Time Optum Health Coding Risk Adjustment information

See Gallup, NM salary details

$14

$24

$34

How much do full time optum health coding risk adjustment jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for full time optum health coding risk adjustment in Gallup, NM is $24.04, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $26.97 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a full time Optum Health coding risk adjustment professional?

To excel in a Full Time Optum Health Coding Risk Adjustment role, you need a solid understanding of medical coding guidelines, risk adjustment models (such as HCC), and typically a certification like CPC or CRC. Proficiency with coding software, electronic health records (EHRs), and risk adjustment analytics platforms is crucial. Attention to detail, analytical thinking, and effective communication help ensure accuracy and collaboration in documentation and reporting. These skills are vital for optimizing compliant coding, improving patient outcomes, and supporting accurate reimbursement in value-based care environments.

What is a full time Optum Health coding risk adjustment?

A Full Time Optum Health Coding Risk Adjustment job involves reviewing medical records and coding data to ensure accurate risk adjustment for health plan members. Employees in this role typically analyze clinical documentation, assign diagnostic codes, and support compliance with regulatory requirements. Their work ensures that health plans receive appropriate reimbursement by capturing the complexity and severity of patient conditions. This role is essential to maintaining data integrity and supporting overall healthcare quality initiatives.

What is the difference between Full Time Optum Health Coding Risk Adjustment vs Full Time Medical Coder?

AspectFull Time Optum Health Coding Risk AdjustmentFull Time Medical Coder
CertificationsCPR, CPC, or CCS often preferredCPR, CPC, or CCS typically required
Work EnvironmentHealthcare insurance, risk adjustment teamsHospitals, clinics, outpatient facilities
Industry UsageHealth insurance, risk managementHealthcare providers, hospitals
Job FocusRisk adjustment coding, data analysisMedical record coding, billing

Full Time Optum Health Coding Risk Adjustment roles focus on risk adjustment coding within health insurance companies, requiring knowledge of risk models and specific certifications. Full Time Medical Coders primarily work in healthcare facilities, concentrating on accurate medical record coding for billing. While both roles involve coding, their environments and focus areas differ significantly.

What are some common challenges faced by full time Optum Health coding risk adjustment professionals, and how can they be addressed?

Professionals in Full Time Optum Health Coding Risk Adjustment roles often encounter challenges such as keeping up with frequent updates to coding guidelines, managing high volumes of complex patient data, and ensuring accuracy under tight deadlines. Staying current with ongoing training, leveraging available coding support resources, and collaborating closely with clinical teams can help address these challenges. Additionally, using advanced coding tools and regularly participating in team meetings can improve both accuracy and workflow efficiency.
What are popular job titles related to Full Time Optum Health Coding Risk Adjustment jobs in Gallup, NM? For Full Time Optum Health Coding Risk Adjustment jobs in Gallup, NM, the most frequently searched job titles are:
What job categories do people searching Full Time Optum Health Coding Risk Adjustment jobs in Gallup, NM look for? The top searched job categories for Full Time Optum Health Coding Risk Adjustment jobs in Gallup, NM are:
Full Time Optum Health Coding Risk Adjustment jobs near you

VOUCHER EXAMINER

FDIHB

Fort Defiance, AZ • On-site

$19.06 - $22.88/hr

Full-time

Posted 2 days ago

New

Job description

CLOSING DATE: Monday, August 17, 2026, at 4:00 P.M (DST)

Salary Range: $19.06-$22.88/hour

**APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE**

**RESUMES AND REFERENCES ARE REQUIRED**

ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES

  • Follows-up and corresponds with responsible parties in accordance to Center of Medicare & Medicaid Services (CMS) and commercial payer guidelines and requirements.
  • Reviews delinquent patient accounts, following up with responsible parties via telephone and correspondence according to organization policy and procedures.
  • Identifies errors, omissions, duplications in documentation and works with other departments for resolutions.
  • Reviews patient accounts to determine the status of the account and ensures all efforts have been maximized and exhausted prior to adjustment process.
  • Reviews all Explanation of Benefits (EOB) and correspondences from third party payers to identify discrepancies for appropriate follow-up or adjustments.
  • Updates and maintains all changes in payer processes, requirements and guidelines through self-education.
  • Meets daily productivity benchmark that is set by the Accounts Receivable Manager. This would include any changes based upon necessity.
  • Upholds internal relationships with other areas of Revenue Cycle Management such as; Patient Registration, Health Information Management, Coding, Patient Accounts and Accounts Receivable.
  • Examines accounts for accuracy and provides adequate documentation to payers within compliance of regulations for justification of all services rendered for medical treatment to process claims for adjudication or reimbursement.
  • Employee may be scheduled various shift and holidays
  • Performs Other duties as assigned

Experience:
Two (2) years’ experience in a healthcare setting in any of the following areas:
Patient Registration
Coding
Billing
Collections

Education:
High School Diploma or Equivalency (HSE)

Please email degree or transcripts to philbert.yazzie@fdihb.org

NAVAJO/INDIAN PREFERENCE:

FDIHB and its facilities are located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who meet the minimum qualifications for this position and who are enrolled members of the Navajo Nation will be given primary preference in hiring and employment for this position and members of other federally recognized Indian tribes will be given secondary preference. Other candidates will be considered only after all candidates entitled to primary or secondary preference have been fully considered.

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