Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to ...
Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to ...
Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to ...
Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to ...
PB Coder
Harrisburg, PA · On-site
$28.06 - $44.20/hr
Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). * Meets or exceeds ... Medicare coding guidelines (i.e. NCCI, LCD/NCD) * CPT * HCPCS * ICD-10 * Epic/PB Resolute ...
PB Coder
Harrisburg, PA · On-site
$28.06 - $44.20/hr
Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). * Meets or exceeds ... Medicare coding guidelines (i.e. NCCI, LCD/NCD) * CPT * HCPCS * ICD-10 * Epic/PB Resolute ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... The Coding Quality Analyst will accurately and efficiently review and extract pertinent case ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... The Coding Quality Analyst will accurately and efficiently review and extract pertinent case ...
Coding Quality Analyst
Newtown Square, PA · On-site
Optum is a global organization that delivers care, aided by technology to help millions of people ... The Coding Quality Analyst will accurately and efficiently review and extract pertinent case ...
Coding Quality Analyst
Newtown Square, PA · On-site
Optum is a global organization that delivers care, aided by technology to help millions of people ... The Coding Quality Analyst will accurately and efficiently review and extract pertinent case ...
PB Coding Coordinator
Harrisburg, PA · 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 ...
PB Coding Coordinator
Harrisburg, PA · 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 ...
Utilization Management & Clinical Validation RN
Newtown Square, PA · Remote
$60K - $107K/yr
... coding which will retain, lessen, or increase financial impact when analysis of chart indicates opportunities. The Appeals nurse will perform their job functions, adhering to both Optum and OPAS ...
Utilization Management & Clinical Validation RN
Newtown Square, PA · Remote
$60K - $107K/yr
... coding which will retain, lessen, or increase financial impact when analysis of chart indicates opportunities. The Appeals nurse will perform their job functions, adhering to both Optum and OPAS ...
Part Time UM Medical Director - Plastic Surgeon - Remote anywhere in US
Philadelphia, PA · Remote
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Discusses cases and clinical coding situations with treating providers telephonically during ...
Part Time UM Medical Director - Plastic Surgeon - Remote anywhere in US
Philadelphia, PA · Remote
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Discusses cases and clinical coding situations with treating providers telephonically during ...
Utilization Management & Clinical Validation RN
Newtown Square, PA · On-site
$60K - $107K/yr
... coding which will retain, lessen, or increase financial impact when analysis of chart indicates opportunities. The Appeals nurse will perform their job functions, adhering to both Optum and OPAS ...
Utilization Management & Clinical Validation RN
Newtown Square, PA · On-site
$60K - $107K/yr
... coding which will retain, lessen, or increase financial impact when analysis of chart indicates opportunities. The Appeals nurse will perform their job functions, adhering to both Optum and OPAS ...
Part Time UM Medical Director - Plastic Surgeon - Remote anywhere in US
Philadelphia, PA · On-site +1
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Discusses cases and clinical coding situations with treating providers telephonically during ...
Part Time UM Medical Director - Plastic Surgeon - Remote anywhere in US
Philadelphia, PA · On-site +1
$248K - $373K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Discusses cases and clinical coding situations with treating providers telephonically during ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Harrisburg, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Harrisburg, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Lancaster, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Lancaster, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Wilkes Barre, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Wilkes Barre, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Lancaster, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Lancaster, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Wilkes Barre, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Wilkes Barre, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster County
Lancaster, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster County
Lancaster, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Scranton, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Scranton, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Ephrata, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Ephrata, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Ephrata, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Ephrata, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Harrisburg, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Per Assessment- Patient Connect - Nurse Practitioner, Lancaster | , Pennsylvania
Harrisburg, PA · On-site
$90 - $155/hr
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in ... Documentation, coding and gap closure You'll be rewarded and recognized for your performance in an ...
Optum Coder information
See Pennsylvania salary details
$18.37 is the 25th percentile. Wages below this are outliers.
$15.90 - $18.42
26% of jobs
$18.42 - $20.94
9% of jobs
$20.94 - $23.46
12% of jobs
The median wage is $24.72 / hr.
$23.46 - $25.98
9% of jobs
$25.98 - $28.50
11% of jobs
$28.50 - $31.02
5% of jobs
$32.91 is the 75th percentile. Wages above this are outliers.
$31.02 - $33.54
6% of jobs
$33.54 - $36.06
5% of jobs
$36.06 - $38.58
5% of jobs
$38.58 - $41.09
3% of jobs
$41.09 - $43.61
10% of jobs
$15
$27
$43
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.
What are popular job titles related to Optum Coder jobs in Pennsylvania?
For Optum Coder jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Optum Coder jobs in Pennsylvania look for?
The top searched job categories for Optum Coder jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Optum Coder jobs?
Cities in Pennsylvania with the most Optum Coder job openings:

Full-time
Re-posted 10 days ago
Job description
UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours.
This position will be working on inpatient codes. As the Coder II, Technical you will code all inpatient accounts, ICD10 diagnoses, and PCS procedures.
Responsibilities:
- Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes following review of the medical record in the electronic health record. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the EHR available at the time of coding adhering to Official Coding Guidelines.
- Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD10-CM and PCS codes for all record types to ensure accurate reimbursement.
- Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing guidelines and updated coding clinics.
- Make forward progress within the training period toward meeting coding accuracy. Meet appropriate coding productivity standards within the time frame established by management staff.
- Utilize computer applications and resources essential to completing the coding process efficiently, such as the Optum coding application. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. Correct any data to be in error after reviewing the electronic health record and comparing with system entries.
- Refer problem accounts to appropriate coding or management personnel for resolution
- Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks.
- Identify incomplete documentation in the medical record and recommend a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process.
- High School or GED equivalent.
- Two years of hospital coding experience.
- Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculm that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures.
- Experience with PCS codes is preferred
Inpatient: Pharmacology & pathophysiology coursework required
Licensure, Certifications, and Clearances:
- Eligible for RHIA, RHIT, CCS
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran