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Full Time Optum Health Coding Risk Adjustment Jobs in Phoenix, AZ

HonorHealth

Audit and Coding Consultant

Phoenix, AZ · On-site

Health Information Shift: Day Department: Coding Hybrid position. Work Hours M-F; 8a-5p with ... Provide a detailed report listing the findings and any adjustments required to the invoices for all ...

RecruitWell

Internal Medicine Physician

Phoenix, AZ

Oversee disease management programs, clinical documentation, risk adjustment, and care planning ... Health, dental, and vision insurance * 401(k) and retirement plan * Health Savings Account (HSA)

CVS Health

Senior Medical Director

Apache Junction, AZ · On-site

... Management Health Plan Management Documentation/Risk Adjustment Clinical Compliance & Policy ... Participating in documentation and coding activities, including provider education and review ...

MY DR NOW

Medical Coding Specialist

Chandler, AZ · On-site

$21 - $25/hr

Work with Epic , the #1-rated EMR in healthcare * Career advancement that's real - we promote from ... Willingness to grow, adapt, and solve complex coding challenges Job Type: Full-time | Location: In ...

Suvida

Specialist, Quality

Phoenix, AZ · On-site

Who We Are At Suvida Healthcare, we are not just caregivers; we're compassionate advocates ... or Risk Adjustment experience in supplemental data and chart reviews * Knowledge of CMS STARS ...

WGNSTAR

Adjustment Technician

Phoenix, AZ · On-site

Phoenix, AZ Position Type : Full-time Benefits: This position is eligible for WGNSTAR's full ... To ensure the health and safety in the workplace and for the protection of our employees', wearing ...

TEEMA

Industrial Safety & Risk Engineer

Phoenix, AZ · On-site

$120K - $160K/yr

Lead the implementation and maintenance of the ISO 45001 Occupational Health and Safety Management ... Robust knowledge of OSHA standards and NFPA codes. * Software Proficiency: Experience with MS ...

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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 Phoenix, AZ

Full Time Optum Health Coding Risk Adjustment information

See Phoenix, AZ salary details

$15

$26

$37

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

As of Aug 6, 2026, the average hourly pay for full time optum health coding risk adjustment in Phoenix, AZ is $26.17, according to ZipRecruiter salary data. Most workers in this role earn between $21.49 and $29.38 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 the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Phoenix, AZ? The most popular types of Optum Health Coding Risk Adjustment jobs in Phoenix, AZ are:
What are popular job titles related to Full Time Optum Health Coding Risk Adjustment jobs in Phoenix, AZ? For Full Time Optum Health Coding Risk Adjustment jobs in Phoenix, AZ, the most frequently searched job titles are:
What job categories do people searching Full Time Optum Health Coding Risk Adjustment jobs in Phoenix, AZ look for? The top searched job categories for Full Time Optum Health Coding Risk Adjustment jobs in Phoenix, AZ are:
Full Time Optum Health Coding Risk Adjustment jobs near you

Audit and Coding Consultant

HonorHealth

Phoenix, AZ • On-site

Full-time

Posted 24 days ago

HonorHealth rating

7.7

Company rating: 7.7 out of 10

Based on 209 frontline employees who took The Breakroom Quiz

160th of 887 rated healthcare providers

Job description

Primary City/State:
Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027
Category:
Health Information
Shift:
Day
Department:
Coding
Hybrid position.
Work Hours M-F; 8a-5p with ability to flex due to provider schedules for education sessions.
Great care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
JOB SUMMARY
Under the direction of senior leadership, the Audit and Coding Consultant audits, develops educational materials, educates providers and coders regarding coding/documentation guidelines. Research regulations on new codes and reviews opportunities for growth. Ensures accuracy and completeness of coding through a rigorous quality review of external and internal documentation of audit process ensuring compliance with federal and state regulations. Responsible for provider and coding training programs.
ESSENTIAL FUNCTIONS
  • Ensure appropriate methodology to include financial controls, identification of trends and unusual patterns, reimbursement deficiencies, and to improve processes. Confirm appropriate services are provided in accordance with examination protocol and medical billing. Work with vendor to ensure audit processes maintain appropriate controls, providing feedback to both vendor and physicians regarding results. Identify unusual examiner patterns based on trends identifiable to the vendor/provider or coder. Identify deficiencies in the reimbursement process and opportunities for appropriate reimbursement. Provide a detailed report listing the findings and any adjustments required to the invoices for all inappropriately invoiced services. Make recommendation for improvements in processes or policies and create/execute provider education for individuals and/or group sessions. Maintain audit results and ensure provider movement throughout the compliance audit plan. Analyze and confirm external results and as appropriate, which with senior leadership and compliance to create action plans.
  • Research guidelines and regulations for proposed lines of business. Keep revenue cycle and physicians updated on new or changing regulations. Work with IT to ensure that codes are updated and build for new services include required data points.
  • Performs other duties as assigned.

EDUCATION
  • Associates or 2 years' work related experience Required
  • Bachelors Preferred

EXPERIENCE
  • 3 years Revenue Cycle experience Required
  • 3 years Professional Coding experience Required
  • 5 years coding leadership experience or equivalent Preferred

LICENSE AND CERTIFICATIONS
  • Certified Coding Audit Professional (CCAP) - Certification Required
  • Certified Professional Coder (CPC) - Certification Required

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About HonorHealth

Sourced by ZipRecruiter

HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Scottsdale, AZ, US

Year founded

2014

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