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Optum Chart Review Jobs in Florida (NOW HIRING)

Halifax Health

Inpatient Coding Educator

Daytona Beach, FL · Remote

$26.25 - $29.75/hr

CCS credential preferred Epic and Optum experience highly preferred Previous teaching/educating ... Perform quality assurance reviews to assess comprehension of training efforts. Organize and ...

Halifax Health

Inpatient Coding Educator

Daytona Beach, FL · On-site

$26.25 - $29.75/hr

CCS credential preferred • Epic and Optum experience highly preferred • Previous teaching ... reviews to assess comprehension of training efforts. • Organize and participate in coding and ...

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Optum Chart Review information

What is an Optum Chart Review?

An Optum Chart Review is a process where medical records are examined by professionals working on behalf of Optum, a healthcare services and innovation company. The goal is to ensure that patient records are accurate, complete, and compliant with healthcare regulations. This review supports quality improvement, risk adjustment, and proper coding for insurance and billing purposes. Optum Chart Reviewers typically work with electronic health records (EHRs) and may collaborate with healthcare providers to clarify documentation.

What are some common challenges faced by professionals working in Optum Chart Review, and how can they be managed?

Professionals in Optum Chart Review often encounter challenges such as managing large volumes of medical records, ensuring the accuracy and completeness of data abstraction, and adhering to tight deadlines. Balancing productivity with quality is essential, as inaccuracies can impact patient care and organizational compliance. To manage these challenges, it’s important to stay organized, regularly communicate with team members or supervisors for clarification, and actively participate in ongoing training to keep up with the latest coding guidelines and regulatory requirements.

What are the key skills and qualifications needed to thrive as an Optum Chart Reviewer, and why are they important?

To thrive as an Optum Chart Reviewer, you need a strong background in medical coding, healthcare documentation review, and knowledge of clinical terminology, often supported by a relevant certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, chart abstraction tools, and compliance software is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These abilities ensure accurate data extraction, risk adjustment, and regulatory compliance, which are critical for optimizing patient care and supporting organizational goals.

What is the difference between Optum Chart Review vs Medical Records Reviewer?

AspectOptum Chart ReviewMedical Records Reviewer
CredentialsTypically requires healthcare-related certifications, such as RHIT, RHIA, or medical coding credentialsOften requires similar certifications, focusing on medical coding or health information management
Work EnvironmentRemote or office-based, working with healthcare data and patient recordsPrimarily office-based, reviewing and organizing medical records for accuracy and completeness
Employer & IndustryMajor healthcare companies like Optum, insurance providers, and healthcare organizationsHospitals, clinics, insurance companies, and health information management firms

Optum Chart Review and Medical Records Reviewer roles share similar credentials and work environments, focusing on healthcare data management. While both involve reviewing medical information, Optum Chart Review often emphasizes insurance claims and utilization review, whereas Medical Records Review centers on record accuracy and completeness. Understanding these differences helps job seekers identify the best fit for their skills and career goals.

What are popular job titles related to Optum Chart Review jobs in Florida?

For Optum Chart Review jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Optum Chart Review jobs in Florida look for?

The top searched job categories for Optum Chart Review jobs in Florida are:

What cities in Florida are hiring for Optum Chart Review jobs?

Cities in Florida with the most Optum Chart Review job openings:

Optum Chart Review jobs near you
Infographic showing various Optum Chart Review job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Inpatient Coding Educator

Halifax Health

Daytona Beach, FL • Remote

$26.25 - $29.75/hr

Full-time

Re-posted 24 days ago

Halifax Health rating

6.0

Company rating: 6.0 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

749th of 898 rated healthcare providers

Job description

Day (United States of America)Inpatient Coding EducatorThe Inpatient Coding Educator is responsible for conducting coding and billing training programs for HIM coders. Creates presentations, develops learning material, handbook and other training materials. The Inpatient Coding Educator will also be responsible for auditing coders to provide feedback on documentation and coding accuracy.

JOB QUALIFICATIONS:

Bachelor's degree preferred or equivalent combination of relevant work and educational experience. Minimum five (5) years of relevant coding, auditing, and/or teaching experience required. Must pass Halifax Health issued coding examination.

SKILLS, EXPERIENCE AND LICENSURE:

Minimum three (3) years Inpatient coding experience

Coding credential required. CCS credential preferred

Epic and Optum experience highly preferred

Previous teaching/educating experience highly preferred.

Knowledge of regulatory and third party payer requirements

Professionalism in interpersonal communication skills with physicians, colleagues, and ancillary departments

required

The ability to organize, prioritize, analyze, and implement daily tasks; must be a self-starter

The ability to handle multiple responsibilities and tasks in stressful situations

The ability to maintain confidentiality; knowledge of HIPAA laws

DUTIES AND RESPONSIBILITIES:

Lead training sessions on current billing and coding information in the medical field.

Develop curriculum and training handbook and create presentations.

Perform quality assurance reviews to assess comprehension of training efforts.

Organize and participate in coding and reimbursement meetings.

Review and respond to coding questions.

Conduct coding reviews and training programs to assure coding quality.

Ensure billed service is being accurately coded.

Perform chart audits.

Hold regular meetings to communicate new findings.

Perform analysis of benchmarking profiles.

Provide continual coding and payer updates.

Research coding issues that arise.

Maintain knowledge of ICD-10-CM and ICD-10-PCS classifications and coding of diagnoses and procedures.

Identify elements of a medical record's structure and content and code abstracting.

Perform work in accordance to internal standards

All other duties as assigned and consistent with the Job Summary

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