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Fulltime Optum Medical Coding Jobs in Rochester, NY

Rochester Regional Health

Coder - Lead

Rochester, NY · On-site +1

$23.10 - $33.60/hr

This position balances hands-on coding responsibilities with mentoring, auditing, and operational ... full time applicant. It may be modified in the future and eligible for additional pay components.

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Fulltime Optum Medical Coding information

See Rochester, NY salary details

$15

$26

$37

How much do fulltime optum medical coding jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for fulltime optum medical coding in Rochester, NY is $26.00, according to ZipRecruiter salary data. Most workers in this role earn between $21.35 and $29.18 per hour, depending on experience, location, and employer.

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 Rochester, NY? For Fulltime Optum Medical Coding jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Fulltime Optum Medical Coding jobs in Rochester, NY look for? The top searched job categories for Fulltime Optum Medical Coding jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Fulltime Optum Medical Coding jobs? Cities near Rochester, NY with the most Fulltime Optum Medical Coding job openings:
Fulltime Optum Medical Coding jobs near you
Coder - Lead

Coder - Lead

Rochester Regional Health

Rochester, NY • On-site, Remote

$23.10 - $33.60/hr

Full-time

Posted 19 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

253rd of 872 rated healthcare providers

Job description

Job Title: Lead Coder
Location: Remote
Hours Per Week: 40 hours/week
Schedule: Day shift
SUMMARY:
The Lead Coder, under the direction of the HIM Coding Manager, provides leadership and subject matter expertise to the coding team across inpatient and/or outpatient care settings. This role ensures daily operational functions are met, supports coding quality and compliance, and provides continuity during the training and onboarding of staff. The Lead Coder serves as a super user and resource for both internal and external stakeholders, assisting with complex coding questions, workflow improvements, and regulatory compliance. This position balances hands-on coding responsibilities with mentoring, auditing, and operational oversight to ensure accuracy, timeliness, and compliance in coding practices.
RESPONSIBILITIES:
  • Adheres to the Standards of Ethical Coding as set forth by AHIMA and/or AAPC and remains current with official coding guidelines, regulatory updates, and payer requirements
  • Works collaboratively with HIM management to support coding audit processes that promote quality, accuracy, and compliance
  • Monitors daily activity of coding work queues to support productivity benchmarks and turnaround times; communicates trends, barriers, or risks to HIM management
  • Provides technical guidance, recommendations, and feedback regarding workflow efficiencies, process improvements, and denial prevention opportunities
  • Serves as a mentor and resource to coding staff; assists with onboarding, training, and cross-training to support departmental coverage needs
  • Collaborates with Patient Financial Services, Revenue Integrity, Compliance, CDI, and other stakeholders to identify and resolve coding-related issues impacting reimbursement or compliance
  • Demonstrates advanced technical expertise in ICD-10-CM, CPT/HCPCS, and PCS coding, as well as applicable reimbursement methodologies (e.g., DRG, APC/E-APG)
  • Formulates compliant coding queries when provider documentation is incomplete, ambiguous, or unclear
  • Assists with review and correction of claim edits, error reports, and denials; identifies error patterns and partners with management on corrective actions
  • Provides education and guidance to providers and clinical teams related to documentation, coding, and reimbursement best practices
  • Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as assigned
  • Escalates operational, compliance, or performance-related concerns to the Coding Supervisor and/or HIM Coding Manager
  • Performs other duties as assigned by HIM leadership

REQUIRED QUALIFICATIONS:
  • Minimum of 3 years of professional coding experience in inpatient and/or outpatient settings.
  • RHIA, RHIT, CCS, or CPC credential.

PREFERRED QUALIFICATIONS:
  • Associate's degree.
  • Demonstrated knowledge of State, Federal, and payer-specific regulations pertaining to documentation, coding, and billing.
  • Advanced knowledge of ICD-10-CM, CPT, and PCS coding guidelines.
  • Strong understanding of reimbursement methodologies (DRG, APC/E-APG, etc.) and revenue cycle workflows.
  • Proficiency in EHR and coding systems (e.g., Care Connect, UDS, Clintegrity).
  • Demonstrated ability to mentor, train, and support staff in coding best practices.
  • Excellent problem-solving, communication, and collaboration skills.

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$23.10 - $33.60
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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