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Fulltime Optum Medical Coding Jobs in Massachusetts

New England Baptist Hospital

... coding review and updating requests daily * Fulfilling all medical note review requests (OPTUM ... Full time

CodaMetrix

$90K - $105K/yr

CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models ... Learn more about our full-time employee benefits and how we take care of our team. * Health ...

Boston Childrens Hospital

$28.21 - $45.15/hr

Two years of physician medical coding experience required. Schedule: Full time- business hours: Hybrid Boston Children's Hospital offers competitive compensation and unmatched benefits including ...

TaraVista Behavioral Health

Medical Coder, 40hrs

Devens, MA · On-site

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you'll bring your experience and knowledge where ...

Child Health Associates

Medical Coder and Biller

Auburn, MA · On-site

$18.75 - $24/hr

Medical Coder/Biller - Full Time Child Health Associates is looking for an experienced Medical ... coding, timely billing, and quality patient care. This is a full-time, on-site position based in ...

MiraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred. As a Medical Coder for TaraVista in Devens, Massachusetts, you'll bring your experience and knowledge where ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred As a Medical Coder for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where ...

TaraVista Behavioral Health

Medical Coder, 40hrs

Devens, MA · On-site

$20.75 - $27.75/hr

Join us as a Medical Coder! Full Time 40 Hours - Remote Massachusetts Residents Preferred As a Medical Coder for MiraVista in Holyoke, Massachusetts, you'll bring your experience and knowledge where ...

UnitedHealth Group

Medical Coder

Worcester, MA · On-site

$18.75 - $25/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Responds to coding related inquiries from providers and support staff and others as requested

New

UnitedHealth Group

Medical Coder

Worcester, MA · Remote

$18.75 - $25/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Responds to coding related inquiries from providers and support staff and others as requested

New

UnitedHealth Group

Senior Medical Coder

Chelmsford, MA · On-site

$24 - $43/hr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Forward unresolved coding questions to manager for review and comment * Ensure codes are accurate ...

UnitedHealth Group

Senior Medical Coder

Chelmsford, MA · Remote

$24 - $43/hr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Forward unresolved coding questions to manager for review and comment * Ensure codes are accurate ...

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Fulltime Optum Medical Coding information

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

AspectFulltime Optum Medical CodingMedical Billing Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Generally no coding certifications required, focus on billing and claims processing
Work EnvironmentHealthcare facilities, remote or onsite coding departmentsMedical offices, billing companies, remote or onsite billing departments
Job FocusAssigning accurate medical codes for diagnoses and proceduresPreparing and submitting insurance claims, managing billing processes
Industry UsageWidely used in healthcare organizations, insurance companiesCommon in healthcare practices, billing companies, insurance providers

Fulltime Optum Medical Coding involves assigning precise medical codes based on patient records, requiring coding certifications. Medical Billing Specialists focus on submitting claims and managing payments, often with less emphasis on coding certifications. Both roles are essential in healthcare revenue cycle management but differ in daily tasks and certification requirements.

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Fulltime Optum Medical Coding jobs near you

Medical Record Coder

New England Baptist Hospital

Full-time

Re-posted 4 days ago

Job description

PROFESSIONAL MEDICAL RECORDS CODER

Under the direction of the Professional Revenue Integrity Manager

Essential Tasks / Responsibilities

  • Conducting focused compliance assessments of CPT/HCPCS and ICD code assignment
  • Evaluating billed charge data and professional services claims (e.g. CMS-1500) for accuracy of claim reporting requirements
  • Evaluating the adequacy of medical record documentation for professional services providers
  • Preparing reports / audit results as required related to the specific auditing activities performed
  • Analyzing coded data to assess billing patterns and identify potential aberrant billing patterns
  • Analyzing claim denials and associated claim documentation to determine cause and potential resolution
  • Providing recommendations to providers and management
  • Developing and implementing processes that will effectively monitor/track compliance requirements, reporting, and performance metrics / scorecards etc.
  • Interfacing with NEBH revenue cycle and third-party billing vendors, if applicable, to facilitate analysis and/or issue resolutions, as applicable
  • Developing, conducting, and/or coordinating provider coding / documentation training including implementation and maintenance of provider training resources / references
  • Conducting NEBMA, SPINE CTR & NEBMA Hospitalist group coding review and updating requests daily
  • Fulfilling all medical note review requests (OPTUM, BCBS, etc.)
  • Providing educational materials and coding accuracy to clinicians
  • Analyzing billing company reports

Qualifications / Skills

  • Strong reading comprehension skills
  • Solid oral and written communication skills
  • Native or Fluent proficiency in English language
  • Excellent typing and 10-key speed and accuracy
  • Strong knowledge of anatomy, physiology, and medical terminology
  • Attention to detail, organization, and time management skills
  • Microsoft Office skills (Outlook, Word, Excel, PowerPoint)
  • Ability to work on numerous software applications systems and a willingness to learn
  • Ability to work both independently and as a team player within a hybrid environment

Education, Experience, and Licensing Requirements

  • High school diploma, GED, or equivalent required, university/college degree is a plus
  • 1 year of medical coding experience required, 2+ years preferred
  • CCS, CCS-P, CCA, CPC, COC, or CPC-A required
  • Experience working in medical office and communicating with clinicians preferred
  • Experience with medical billing and CMS-1500 forms preferred
  • Experience using eClinicalWorks, Soarian, Medaptus, or Optum EncoderPro is a plus
Employment Type: Full time

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