Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Medical Record Coder
Boston, MA · On-site
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Medical Record Coder
Boston, MA · On-site
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
Worcester, MA · On-site
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Proves complex coding expertise in all functions of day to day processes, including Epic ...
Senior Medical Coder
Worcester, MA · On-site
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Proves complex coding expertise in all functions of day to day processes, including Epic ...
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 ... Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient ...
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 ... Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient ...
Senior Medical Coder
Worcester, MA · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Proves complex coding expertise in all functions of day to day processes, including Epic ...
Senior Medical Coder
Worcester, MA · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Proves complex coding expertise in all functions of day to day processes, including Epic ...
Senior Medical Coder
Chelmsford, MA · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient ...
Senior Medical Coder
Chelmsford, MA · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Codes a variety of medical records using CPT, HCPCS and ICD-10 codes for office, outpatient ...
Coding Compliance Analyst
Worcester, MA · On-site
Optum is a global organization that delivers care, aided by technology to help millions of people ... Certified Professional Coder (CPC, CCS-P, CEMC, CPMA or COC) * 1+ years of experience utilizing ...
Coding Compliance Analyst
Worcester, MA · On-site
Optum is a global organization that delivers care, aided by technology to help millions of people ... Certified Professional Coder (CPC, CCS-P, CEMC, CPMA or COC) * 1+ years of experience utilizing ...
Coding Compliance Analyst
Worcester, MA · Remote
Optum is a global organization that delivers care, aided by technology to help millions of people ... Certified Professional Coder (CPC, CCS-P, CEMC, CPMA or COC) * 1 years of experience utilizing ...
Coding Compliance Analyst
Worcester, MA · Remote
Optum is a global organization that delivers care, aided by technology to help millions of people ... Certified Professional Coder (CPC, CCS-P, CEMC, CPMA or COC) * 1 years of experience utilizing ...
Prepay Coding Consultant
Plymouth, MA · On-site
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3+ years of ...
Prepay Coding Consultant
Plymouth, MA · On-site
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3+ years of ...
Prepay Coding Consultant
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3 years of ...
Prepay Coding Consultant
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA * 3 years of ...
This includes developing codes that create analysis datasets, tables, and figures, evaluating ... Claims Data: Optum, HealthVerity, or IQVIA PharmMetrics * Nice to have: MarketScan, VA data ...
This includes developing codes that create analysis datasets, tables, and figures, evaluating ... Claims Data: Optum, HealthVerity, or IQVIA PharmMetrics * Nice to have: MarketScan, VA data ...
Supervisor, Claims Review - Remote in MA
Boston, MA · Remote
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Familiarity with CPT-4, HCPCs and ICD-10 code terminology *All employees working remotely will be ...
Supervisor, Claims Review - Remote in MA
Boston, MA · Remote
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Familiarity with CPT-4, HCPCs and ICD-10 code terminology *All employees working remotely will be ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Supervisor, Claims Review - Remote in MA
Boston, MA · On-site +1
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Familiarity with CPT-4, HCPCs and ICD-10 code terminology *All employees working remotely will be ...
Supervisor, Claims Review - Remote in MA
Boston, MA · On-site +1
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Familiarity with CPT-4, HCPCs and ICD-10 code terminology *All employees working remotely will be ...
Sr Utilization Management Nurse RN - Remote
Boston, MA · On-site +1
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Sr Utilization Management Nurse RN - Remote
Boston, MA · On-site +1
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Lead Software Engineer - Remote or Hybrid in MN and DC
Boston, MA · On-site +1
$112K - $193K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Provide hands-on coding and actively contribute to critical components and complex features
Lead Software Engineer - Remote or Hybrid in MN and DC
Boston, MA · On-site +1
$112K - $193K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Provide hands-on coding and actively contribute to critical components and complex features
IRR Clinical Claim Review RN
Plymouth, MA · Remote
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... The IRR Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct ...
New
IRR Clinical Claim Review RN
Plymouth, MA · Remote
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... The IRR Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct ...
New
IRR Clinical Claim Review RN
Plymouth, MA · On-site
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... The IRR Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct ...
New
IRR Clinical Claim Review RN
Plymouth, MA · On-site
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... The IRR Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct ...
New
Lead Software Engineer - Remote or Hybrid in MN and DC
Boston, MA · On-site +1
$112K - $193K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Provide hands-on coding and actively contribute to critical components and complex features
Lead Software Engineer - Remote or Hybrid in MN and DC
Boston, MA · On-site +1
$112K - $193K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Provide hands-on coding and actively contribute to critical components and complex features
Optum Coder information
See Massachusetts salary details
$20.01 is the 25th percentile. Wages below this are outliers.
$17.33 - $20.07
26% of jobs
$20.07 - $22.82
9% of jobs
$22.82 - $25.56
12% of jobs
The median wage is $26.93 / hr.
$25.56 - $28.31
9% of jobs
$28.31 - $31.05
11% of jobs
$31.05 - $33.79
5% of jobs
$35.85 is the 75th percentile. Wages above this are outliers.
$33.79 - $36.54
6% of jobs
$36.54 - $39.28
5% of jobs
$39.28 - $42.03
5% of jobs
$42.03 - $44.77
3% of jobs
$44.77 - $47.52
10% of jobs
$17
$30
$47
How much do optum coder jobs pay per hour?
What is the difference between Optum Coder vs Medical Coder?
| Aspect | Optum Coder | Medical Coder |
|---|---|---|
| Certifications | AHIMA or AAPC certifications (CPC, CCS) | AHIMA or AAPC certifications (CPC, CCS) |
| Work Environment | Healthcare organizations, insurance companies, consulting firms | Hospitals, clinics, physician offices, insurance companies |
| Industry Usage | Used across healthcare and insurance sectors | Primarily in healthcare facilities and billing services |
Optum Coders and Medical Coders share similar certifications and work environments, often overlapping in healthcare and insurance settings. While Optum Coders may work specifically within Optum's healthcare services, Medical Coders are employed broadly across various healthcare providers. Both roles require similar skills and certifications, making them closely related but distinct in employer and specific job functions.

Job description
PROFESSIONAL MEDICAL RECORDS CODER
Under the direction of the Professional Revenue Integrity ManagerEssential 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
About New England Baptist Hospital
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Roxbury Crossing, MA, US
Year founded
1893