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Full Time Optum Health Coding Risk Adjustment Jobs in Seattle, WA

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding ... HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for ...

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Full Time Optum Health Coding Risk Adjustment information

See Seattle, WA salary details

$17

$29

$43

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

As of Aug 7, 2026, the average hourly pay for full time optum health coding risk adjustment in Seattle, WA is $29.99, according to ZipRecruiter salary data. Most workers in this role earn between $24.62 and $33.65 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 Seattle, WA? The most popular types of Optum Health Coding Risk Adjustment jobs in Seattle, WA are:
What are popular job titles related to Full Time Optum Health Coding Risk Adjustment jobs in Seattle, WA? For Full Time Optum Health Coding Risk Adjustment jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Full Time Optum Health Coding Risk Adjustment jobs in Seattle, WA look for? The top searched job categories for Full Time Optum Health Coding Risk Adjustment jobs in Seattle, WA are:

$33.85 - $55.86/hr

Full-time

Re-posted 6 days ago


Job description


Job Summary and Responsibilities

As our Documentation & Coding Consultant, you will design, implement, and manage ongoing organizational monitoring activities and educational programs. This ensures proper reimbursement and compliance with all regulatory statutes.
Every day you will work in a consulting capacity, identifying compliance issues and analyzing practice patterns. You will verify charges, ensure optimal reimbursement for the organization, and interpret regulatory changes.
To be successful in this role, you will implement the necessary changes and modify VMMC's policies, conveying these changes to the clinical departments. You will possess a strong command of coding guidelines and educate staff thoroughly on compliance requirements.

Job Requirements

Required

  • Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
  • One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
  • Demonstrated interpersonal, organizational, analytical, and problem-solving skills
  • Ability to interact tactfully yet assertively with physicians and other professional staff
  • Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
  • Good written and verbal communication skills

Preferred

  • Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
  • Clinical knowledge and exposure to risk adjustment coding
Where You'll Work

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Qualifications:

Required

  • Bachelor's degree or equivalent plus credentialed as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician based (CCS-P)
  • One (1) year of CPT and diagnosis coding experience in a healthcare provider or a third party payer
  • Demonstrated interpersonal, organizational, analytical, and problem-solving skills
  • Ability to interact tactfully yet assertively with physicians and other professional staff
  • Strong presentation skills and comfort in settings ranging from one-on-one (1:1) communications to large groups
  • Good written and verbal communication skills

Preferred

  • Five (5) years of Current Procedural Terminology (CPT) and diagnosis coding experience in a healthcare provider or a third party payer and three (3) years of experience as an instructor/trainer
  • Clinical knowledge and exposure to risk adjustment coding
Employment Type: Full Time