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Fulltime Optum Medical Coding Jobs in Texas (NOW HIRING)

Premier Medical Resources

Medical Coder

Houston, TX

$18 - $23.75/hr

Revenue Cycle Management is looking for a full-time Medical Coder to join our team! **Remote opportunity after in-person training** SUMMARY: The Medical Coder is responsible for reviewing medical ...

Premier Medical Resources

Medical Coder

Houston, TX · On-site

$18 - $23.75/hr

Revenue Cycle Management is looking for a full-time Medical Coder to join our team! Remote opportunity after in-person training SUMMARY: The Medical Coder is responsible for reviewing medical ...

The US Oncology Network

Coding Analyst

Richardson, TX · On-site

This full-time hybrid position will support the Charge Corrections Department at our 3001 E ... Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ...

Ernest Health

Coder Full Time

Lubbock, TX · On-site

$15.25 - $20.25/hr

Medical Coding Certification preferred. Additional Qualifications/Skills: * Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer ...

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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.

What are popular job titles related to Fulltime Optum Medical Coding jobs in Texas? For Fulltime Optum Medical Coding jobs in Texas, the most frequently searched job titles are:
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Fulltime Optum Medical Coding jobs near you

Client Success Manager (Medical Coding)

Plutus Health

Dallas, TX • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

About
Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and recognized among the Inc. 5000 fastest-growing private companies. We specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. Our commitment to innovation and excellence has earned us recognition as a 2024 EY Entrepreneur Of The Year finalist and one of the top 100 fastest-growing companies in Dallas.
Life at Plutus Health
Plutus Health offers a unique work environment that is both thrilling and enriching, fostering personal and professional growth. Our company is a hub of innovation, collaboration, and continuous learning, where we encourage our employees to adopt a positive mindset and strive for excellence.
At Plutus Health, you'll be part of a vibrant team that thrives on creativity and problem-solving. You'll have the opportunity to work on cutting-edge projects, leveraging the latest technologies and methodologies to deliver intelligent solutions that make a tangible difference for our clients.
Plutus Health prioritizes the well-being of its employees and fosters a supportive and inclusive culture that promotes work-life balance. If you are enthusiastic about joining a vibrant organization that values your input, Plutus Health is the ideal place to pursue your career goals.
Job Title: Client Success Manager (Medical Coding)
Experience: 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role
Qualification: Bachelor's degree in Healthcare Administration, Business, or a related field (Master's preferred).
Location: Dallas, Texas /Remote
Terms: Full-time
Job Summary
We are seeking an experienced Client Success Manager with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.
The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.
Key Responsibilities
Client Success & Relationship Management:
  • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
  • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
  • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
  • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.

Medical Coding & Compliance Oversight:
  • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
  • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
  • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
  • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
  • Provide training and education to clients and internal teams on evolving coding guidelines and best practices.

Revenue Cycle & Denial Management:
  • Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
  • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
  • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
  • Drive coding automation initiatives to improve operational efficiency and minimize manual errors.

Cross-Functional Collaboration & Leadership:
  • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
  • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
  • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
  • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.
Qualifications & Experience
  • Bachelor's degree in Healthcare Administration, Business, or a related field (Master's preferred).
  • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
  • Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
  • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
  • Experience in coding audits, denial resolution, and revenue integrity initiatives.
  • Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.).
  • Experience managing onshore/offshore coding teams and handling multi-client engagements.
  • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
  • Willingness to travel as needed.
Why Join Plutus Health Inc.?
  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.

Apply