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Mobile Optum Medical Coding Jobs in Massachusetts

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

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 ...

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 ...

PB Coding Coordinator

Boston, MA · On-site

$31.01 - $48.84/hr

Functionally work within Microsoft Office Suite products & Optum Encoder Pro. * Provides education/training for medical providers and coders within the department. * Performs quality assurance audits ...

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Mobile Optum Medical Coding information

What is a Mobile Optum Medical Coder?

A Mobile Optum Medical Coder is a healthcare professional employed by Optum who travels to various medical facilities or works remotely to review patient records and assign standardized medical codes. These codes are used for billing, insurance claims, and maintaining accurate healthcare records. Mobile coders often work independently, ensuring compliance with coding regulations and helping healthcare providers receive proper reimbursement. The role requires strong knowledge of coding systems like ICD-10, CPT, and HCPCS, as well as attention to detail. Mobility allows them to serve multiple clinics or providers efficiently.

What are the key skills and qualifications needed to thrive as a Mobile Optum Medical Coder?

To thrive as a Mobile Optum Medical Coder, you need a strong understanding of medical terminology, anatomy, ICD-10, CPT, and HCPCS coding systems, typically supported by certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work tools is essential for accuracy and compliance. Attention to detail, strong analytical skills, and effective communication are vital to ensure precise code assignment and collaboration with healthcare teams. These abilities are crucial for maintaining data integrity, supporting accurate billing, and ensuring regulatory compliance in a remote healthcare environment.

What are some common challenges faced by Mobile Optum Medical Coders and how can they be addressed?

Mobile Optum Medical Coders often encounter challenges such as accurately interpreting complex medical records remotely, managing time effectively across multiple client sites or providers, and keeping up with frequent coding guideline updates. To overcome these challenges, it’s important to maintain strong communication with providers and team members, regularly participate in training sessions, and utilize secure digital tools for seamless documentation and information sharing. Staying organized and proactive in seeking clarification or guidance helps ensure accuracy and efficiency in coding assignments.

What is the difference between Mobile Optum Medical Coding vs Medical Coding Specialist?

AspectMobile Optum Medical CodingMedical Coding Specialist
CertificationsCertified Professional Coder (CPC), AHIMA credentials often preferredSame certifications typically required
Work EnvironmentMobile/remote, healthcare organizations, insurance companiesOffice-based, healthcare facilities, insurance companies
Industry UsageUsed across healthcare providers, insurance, and telehealthCommon in hospitals, clinics, insurance companies

Mobile Optum Medical Coders and Medical Coding Specialists both require similar certifications and work in healthcare settings. Mobile Optum Medical Coding often involves remote work with a focus on telehealth and insurance companies, while Medical Coding Specialists may work primarily onsite in hospitals or clinics. Both roles are essential for accurate medical billing and coding processes.

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:

Full-time

Re-posted 7 hours 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