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Full Time Optum Health Coding Risk Adjustment Jobs

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess ...

Aquity Solutions

Director Risk Adjustment - Remote

$130K - $150K/yr

Directly manage a department of 70+ production coders and auditors. Lead the organizational design ... for full-time employees). IKS Health is an equal opportunity employer and does not discriminate ...

HealthEdge

Director, Risk Adjustment Products

... surface high-impact suspects and coding opportunities. * Drive innovation leveraging ... Serve as a subject matter advisor and primary point of contact for health clients, proactively ...

Centrum Health

Risk Adjustment Analyst

Doral, FL · On-site

The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...

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Full Time Optum Health Coding Risk Adjustment information

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

As of Jul 17, 2026, the average hourly pay for full time optum health coding risk adjustment in the United States is $26.36, according to ZipRecruiter salary data. Most workers in this role earn between $21.63 and $29.57 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, and why are they important?

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 job?

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.
More about Full Time Optum Health Coding Risk Adjustment jobs
What cities are hiring for Full Time Optum Health Coding Risk Adjustment jobs? Cities with the most Full Time Optum Health Coding Risk Adjustment job openings:
What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs? The most popular types of Optum Health Coding Risk Adjustment jobs are:
What states have the most Full Time Optum Health Coding Risk Adjustment jobs? States with the most job openings for Full Time Optum Health Coding Risk Adjustment jobs include:
What job categories do people searching Full Time Optum Health Coding Risk Adjustment jobs look for? The top searched job categories for Full Time Optum Health Coding Risk Adjustment jobs are:
Full Time Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Full Time Optum Health Coding Risk Adjustment job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $54,819 per year, or $26.4 per hour.
Risk Adjustment Coder

Risk Adjustment Coder

Cano Health

Jupiter, FL • On-site

Full-time

Re-posted 18 days ago

Cano Health rating

7.6

Company rating: 7.6 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

It's rewarding to be on a team of people that truly believe in making an impact!
We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.
Job Summary
The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.
Duties & Responsibilities
Essential Duties & Responsibilities
  • Review medical record information to identify all appropriate coding based on CMS HCC categories
  • Prepare the medical charts and track patient information via Excel spreadsheets.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
  • Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
  • Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS
  • Monitor coding changes to ensure that most current information is available
  • Work HCC suspect reports
  • Accurately code and submit encounters on a timely basis
  • Researching and addressing code questions for multiple provider offices as directed
  • Update the Director on the status on a weekly basis
  • Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
  • Travel to offices as necessary to complete on-site chart reviews
  • Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.
  • Support and participate in process and quality improvement initiatives.
  • Assists with billing claims as assigned.

Additional Duties & Responsibilities
  • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required.

Education & Experience
  • Two (2) years prior medical coding experience
  • Proficient in Microsoft Word and Excel
  • Strong organization and process management skills
  • Strong collaboration and relationship building skills
  • High attention to detail
  • Excellent written and verbal communication skills
  • Ability to learn new tasks and concepts
  • CPC, CPC-A or CCS-P, CRC Coding Certification

Knowledge, Skills & Proficiencies
  • Builds Trust: Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one's actions.
  • Pursues Excellence: Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed care plan.
  • Executes for Results: Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.
  • Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places emphasis on the success of the medical centers and insurance companies.

Job Requirements
Physical Requirements
This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Tools & Equipment Used
Computer and peripherals, standard and customized software applications and tools, and usual office equipment.
Disclaimer
The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates within this classification. It is not designed to contain, or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. This is not an all-inclusive job description; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. Cano Health is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
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