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Home Based Optum Medical Coding Jobs in Massachusetts

New England Baptist Hospital

Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills

CodaMetrix

$20.25 - $27.25/hr

... medical codes ... CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models ...

TaraVista Behavioral Health

Medical Coder, 40hrs

Devens, MA · On-site

$20.75 - $27.75/hr

You are responsible for professional CPT coding for Medicare and Medicare like payers. * You will ... Tuition Reimbursement Pay Range Compensation will be determined based on the candidate's relevant ...

TaraVista

Medical Coder, 40hrs

Devens, MA · Remote

$20.75 - $27.75/hr

You are responsible for professional CPT coding for Medicare and Medicare like payers. * You will ... Tuition Reimbursement Pay Range Compensation will be determined based on the candidate's relevant ...

Home Helpers Home Care

Coding Instructor

Hingham, MA · On-site

$22 - $25/hr

We offer Coding classes for all age groups starting 5 to 16 in Acton, Lexington, Maynard and ... Every year Home Helpers Home care recognizes Caregivers who have gone above and beyond with the ...

Home Helpers Home Care

Coding Instructor

Hingham, MA · On-site

$22 - $25/hr

We offer Coding classes for all age groups starting 5 to 16 in Acton, Lexington, Maynard and ... Every year Home Helpers Home care recognizes Caregivers who have gone above and beyond with the ...

Home Helpers

Coding Instructor

Hingham, MA

$22 - $25/hr

We offer Coding classes for all age groups starting 5 to 16 in Acton, Lexington, Maynard and ... Every year Home Helpers Home care recognizes Caregivers who have gone above and beyond with the ...

HCAOA

Coding Instructor

Hingham, MA · On-site

$22 - $25/hr

We offer Coding classes for all age groups starting 5 to 16 in Acton, Lexington, Maynard and ... Every year Home Helpers Home care recognizes Caregivers who have gone above and beyond with the ...

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Home Based Optum Medical Coding information

What are the key skills and qualifications needed to thrive as a Home Based Optum Medical Coder, and why are they important?

To excel as a Home Based Optum Medical Coder, you need a thorough knowledge of medical terminology, anatomy, ICD-10, CPT, and HCPCS coding systems, typically validated by a coding certification such as CPC, CCS, or CRC. Familiarity with Optum’s proprietary coding software, electronic health records (EHRs), and secure remote work platforms is essential. Strong attention to detail, time management, and effective communication are standout soft skills for this remote role. These skills ensure accurate coding, regulatory compliance, and efficient collaboration, which are vital for maintaining revenue cycle integrity and patient data accuracy.

What are some common challenges faced by home-based Optum medical coders, and how can they be overcome?

Home-based Optum medical coders often face challenges such as maintaining consistent productivity without direct in-person supervision, staying updated with frequent coding guideline changes, and managing communication with remote teams. To overcome these, it's important to establish a dedicated, distraction-free workspace, participate actively in regular virtual team meetings, and utilize available online training resources to stay current. Additionally, leveraging collaboration tools and reaching out to team leads for support can help maintain a sense of connection and ensure accuracy in coding work.

What is a Home Based Optum Medical Coder?

A Home Based Optum Medical Coder is a healthcare professional employed by Optum who works remotely to review clinical documents and assign standardized medical codes for diagnoses, procedures, and services. These codes are essential for accurate billing, insurance claims, and maintaining patient records. Home based coders use specialized software and must follow all relevant coding guidelines and regulations. This role offers flexibility to work from home while ensuring accurate and compliant coding practices for healthcare providers.

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

AspectHome Based Optum Medical CodingMedical Billing Specialist
CertificationsCPMA, CPC, CCSCPB, CPC
Work EnvironmentRemote/Home-basedOffice or remote
Industry UsageHealthcare, insurance companiesHealthcare providers, clinics
Job FocusAssigning codes to diagnoses and proceduresProcessing patient bills and insurance claims

Home Based Optum Medical Coding involves assigning medical codes for diagnoses and procedures, primarily working remotely for healthcare organizations or insurance companies. Medical Billing Specialists focus on submitting claims and managing billing processes, often working in healthcare offices or remotely. Both roles require similar certifications but differ in daily tasks and focus areas within the healthcare revenue cycle.

What are the most commonly searched types of Optum Medical Coding jobs in Massachusetts? The most popular types of Optum Medical Coding jobs in Massachusetts are:
What are popular job titles related to Home Based Optum Medical Coding jobs in Massachusetts? For Home Based Optum Medical Coding jobs in Massachusetts, the most frequently searched job titles are:
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Home Based Optum Medical Coding jobs near you
Medical Record Coder

Medical Record Coder

New England Baptist Hospital

On-site

Full-time

Posted 23 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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