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Full Time Optum Medical Coding Jobs in Wisconsin

ThedaCare

Coder (Clinic - III)

Neenah, WI · On-site

$19.25 - $25.75/hr

SCHEDULE : * Full time, benefit eligible * 40 hrs/week * Business hours (i.e 8:00am-5:00pm ... Coding certificate or associate's degree in medical business or coding/health information * Three ...

Bellin

Coding Specialist I

Green Bay, WI · On-site +1

Job Specifics Location: 2020 S Webster Ave, Green Bay, WI 54301 FTE Status: Full-Time 1.00 FTE (40 ... Coding technical diploma or Associate degree in medical records technology, health information ...

Bellin

Coding Specialist III

Green Bay, WI · On-site +1

... hire FTE Status: Full-Time 1.00 FTE (40 hours/week) Work Schedule: Days. Monday - Friday. No ... Associate degree in medical records technology, health information technology, or related degree ...

Bellin

Denials Coding Specialist

Green Bay, WI · On-site +1

This role reviews inpatient medical records to assess coding accuracy, supports appeal processes ... Job Specifics Location: 2020 S Webster Ave, Green Bay, WI 54301 FTE Status: Full-Time 1.00 FTE (40 ...

ASPIRUS HEALTH

FACILITY INPATIENT CODER - CODING

Wausau, WI · On-site

$23.25 - $28.25/hr

HOURS: Full Time 1.0 FTE, 80 Hours Biweekly Experience/Qualifications * Knowledge of medical record and coding practices normally acquired through completion of an Bachelor or Associate Degree in ...

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Full Time Optum Medical Coding information

What are the key skills and qualifications needed to thrive as a full time Optum medical coder?

To thrive as a Full Time Optum Medical Coder, you need a solid understanding of medical terminology, anatomy, and ICD-10/CPT coding systems, typically validated by a coding certification such as CPC or CCS. Proficiency with electronic health record (EHR) systems, coding software, and Optum-specific tools is essential. Attention to detail, analytical thinking, and effective communication are crucial soft skills for this role. These competencies ensure accurate medical record coding, regulatory compliance, and support smooth healthcare operations and reimbursements.

What is the difference between Full Time Optum Medical Coding vs Medical Billing Specialist?

AspectFull Time Optum Medical CodingMedical Billing Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Generally not required, but certifications like CPC are a plus
Work EnvironmentHealthcare facilities, remote or onsite, focusing on coding patient recordsMedical offices, billing companies, often remote, focusing on billing and claims processing
Primary ResponsibilitiesReviewing medical records, assigning codes for diagnoses and proceduresProcessing billing, submitting claims, following up on payments

Full Time Optum Medical Coding involves reviewing medical records and assigning appropriate codes for billing and insurance purposes, often requiring coding certifications. Medical Billing Specialists focus on submitting claims and managing payments, with less emphasis on coding certifications. Both roles are essential in healthcare revenue cycle management but differ in daily tasks and certification requirements.

What are some common challenges faced by full time Optum medical coders, and how are they typically addressed?

Full-time Optum medical coders often encounter challenges such as keeping up with evolving coding guidelines, managing a high volume of patient records, and ensuring accuracy to minimize claim denials. To address these, coders receive regular training on code updates, use advanced coding software, and have access to team leads or quality assurance specialists for guidance. Collaboration with providers and billing teams is also common to resolve documentation discrepancies and maintain compliance with regulations.

What is full time Optum medical coding?

A Full Time Optum Medical Coding job involves working for Optum, a healthcare services company, to review and assign standardized codes to medical diagnoses, procedures, and services. These codes are used for billing, insurance claims, and maintaining accurate patient records. Full-time medical coders at Optum typically work 40 hours per week, often remotely, and must adhere to industry coding standards such as ICD-10, CPT, and HCPCS. The role requires attention to detail, knowledge of medical terminology, and compliance with healthcare regulations.
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Full Time Optum Medical Coding jobs near you

Claims Specialist (Full Time)

OAKLEAF CLINICS INC

Eau Claire, WI • On-site

$20/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

OakLeaf Clinics – Business Office has an exciting opportunity to join our growing team as a Claims Specialist!

OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

Position Description

As a Claims Specialist, you are responsible for working the life cycle of a claim to the highest level and ensuring that all patient information is accurate and up to date within our EHR system. This includes but is not limited to preparing, researching, following up on unpaid claims, processing denials, and researching payer trends.

Responsibilities

  • Follow up on unpaid claims, process denials, researching payer trends
  • Review under and overpayments using clearinghouse to find variances, work claim source rejections, and send payment appeals to insurances
  • Provide billing expertise to clients about insurance filing requirements and payer trends.
  • Maintain an approachable and positive attitude when interacting with all levels of personnel in a rapidly changing environment
  • Receives notices of claim rejections & denials then properly track and resolve issues to ensure claim payments are processed accurately and timely including, sorting, scanning, faxing, and loading records on portals
  • Perform troubleshooting for billing, coding, payment posting, credentialing and prior authorization errors
  • Work with Customer Service, Coding, Payment Posting, Credentialing and Prior Authorization departments and clinical staff to identify and resolve issues
  • Maintain accurate billing analysis reports and communicate implications promptly to the appropriate party
  • Notify the leadership of late/overdue claims and insurance issues or changes
  • Answer inquiries about claim denials from patients/insurance and go into detail
  • Work denials, follow up on outstanding claims, initiate appeals
  • Work myChart questions
  • Work on divisional items in work queues specific to claims with no response, denials, missing attachments, etc.
  • Other duties as assigned
  • Work a flexible schedule within the clinic or department hours based on clinical demand or need

Qualifications

  • Associate’s degree in health information management technology - Preferred
  • Previous experience in a clinic setting - Preferred
  • 2 years medical coding and/or billing experience - Preferred
  • RHIT, CCS, CCS-P, CPC, COC credentials – Preferred
  • Possess a thorough understanding of claims management, payer denials and remittance codes
  • Experience in and extensive knowledge of insurance payer rules
  • Excellent interpersonal skills and comfortable working in a flexible team environment
  • Experience with CPT and ICD-10 coding preferred
  • Experience working in Epic – Preferred
  • Multi-task quickly effectively in a fast-paced environment
  • Must have excellent verbal and written communication skills
  • Effective customer relation skills, ability to organize and interpret data

Salary: From $20 per hour, commensurate with experience
Job Type: Full Time, Monday-Friday
Experience: Claims, Billing