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Optum Coding Jobs (NOW HIRING)

UPMC Senior Communities

DRG Specialist

Pittsburgh, PA · On-site

$27.89 - $48.21/hr

... Optum coding application. * Assists with training of new DRG Specialists and coders as requested. * Focus emphasis of educational communications on accurate and thorough documentation necessary to ...

Corporate Revenue Cycle

DRG Specialist

Pittsburgh, PA

... Optum coding application. * Assists with training of new DRG Specialists and coders as requested. * Focus emphasis of educational communications on accurate and thorough documentation necessary to ...

American Family Care

Medical Coder

Hinsdale, IL · On-site

$18.75 - $25/hr

... resolve Optum coding edits. Responsibilities: * Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician ...

American Family Care

Medical Coder

Hinsdale, IL · On-site

$18.75 - $25/hr

... resolve Optum coding edits. Responsibilities: * Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code physician ...

UnitedHealth Group

Coding Supervisor

Eden Prairie, MN · On-site

$60K - $107K/yr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Work with HR, IT Provisioning team, and coding manager/director in all aspects of on-boarding new ...

UnitedHealth Group

Coding Supervisor

Eden Prairie, MN · Remote

$60K - $107K/yr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Work with HR, IT Provisioning team, and coding manager/director in all aspects of on-boarding new ...

Halifax Health

Inpatient Coding Educator

Daytona Beach, FL · Remote

$26.25 - $29.75/hr

Day (United States of America) Inpatient Coding Educator The Inpatient Coding Educator is ... CCS credential preferred Epic and Optum experience highly preferred Previous teaching/educating ...

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 ... and coding information in the medical field. • Develop curriculum and training handbook and ...

Infinx

Coding Specialist

New Orleans, LA · Remote

$19 - $22/hr

Proficiency with encoder tools (3M, TruCode, Optum EncoderPro, or comparable) and EHR, PMS systems ... Coding Specialist ready to contribute to our mission and be part of our diverse and inclusive ...

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Optum Coding information

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How much do optum coding jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for optum coding in the United States is $27.82, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $30.53 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Optum Coding position, and why are they important?

To thrive in an Optum Coding role, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and often a certification like CPC or CCS. Proficiency with electronic health records (EHR), coding software, and claims processing platforms is typically required. Attention to detail, analytical thinking, and clear communication are valuable soft skills for success in this position. These abilities help ensure accuracy in coding, regulatory compliance, and timely submission of claims within a large healthcare organization like Optum.

Are medical coders still in demand?

Medical coders, including those working in roles like Optum Coding, are in steady demand due to ongoing healthcare industry needs for accurate billing and record-keeping. The profession often requires certification and familiarity with coding systems such as ICD-10 and CPT, and job growth is expected to remain stable as healthcare services expand and electronic health records become more prevalent.

What are some common challenges faced by Optum Coding professionals, and how can they be addressed?

One of the common challenges in Optum Coding roles is staying current with frequent updates to coding standards and healthcare regulations, which requires ongoing education and adaptability. Additionally, coders must often decipher complex medical records and ensure precise, compliant coding to minimize claim denials or delays. These professionals work closely with healthcare providers and other team members to clarify documentation and maintain coding accuracy. Optum offers internal training, regular updates, and collaboration with other departments to help coders overcome these challenges and succeed in a dynamic healthcare environment.

What is an Optum Coding job?

An Optum Coding job involves reviewing medical records and assigning standardized codes for diagnoses, procedures, and treatments to ensure accurate billing and reimbursement. Coders must follow industry guidelines such as ICD, CPT, and HCPCS while ensuring compliance with healthcare regulations. These roles are critical in maintaining proper documentation and supporting healthcare providers in optimizing revenue cycle management. Optum coders may work in various healthcare settings, including hospitals, clinics, and remote positions. Certification such as CPC or CCS is often required for these roles.

What is Optum coding?

Optum coding involves translating medical diagnoses, procedures, and services into standardized codes used for billing and documentation. It requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and attention to detail to ensure accurate reimbursement and compliance. Coders often work in healthcare settings and may need certification such as CPC or CCS.

Is medical coding being phased out?

Medical coding roles, including positions like Optum Coding, remain essential as healthcare providers rely on accurate coding for billing and compliance. While technology such as automation and AI tools are increasingly used, human coders are still needed to ensure accuracy and handle complex cases, so the profession is evolving rather than being phased out.

What is the highest paid Medical Coder job?

The highest paid medical coding roles are often senior or specialized positions such as Coding Manager, Coding Director, or Certified Professional Coder (CPC) with extensive experience and certifications. These roles typically involve overseeing coding teams, ensuring compliance, and working in healthcare organizations or consulting firms, with salaries reaching six figures in some cases.
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Optum Coding jobs near you
Infographic showing various Optum Coding job openings in the United States as of June 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $57,866 per year, or $27.8 per hour.

DRG Specialist

UPMC Senior Communities

Pittsburgh, PA • On-site

$27.89 - $48.21/hr

Full-time

Posted 22 days ago

Job description

Job Summary:
Review clinical documentation within the medical record to ensure that all principal diagnosis, secondary diagnoses, and PCS procedures have been coded accurately and completely as well as certain abstract items in compliance with Official Coding Guidelines, UPMC Coding Guidelines, and OIG regulations on fully coded cases as well as cases on those in training. Assist in training new coding staff.
Responsibilities:
  • Review and evaluate focused UPMC electronic health records in Optum, Epic, or Cerner for accurate DRG assignment to ensure that all documented principal and secondary diagnoses, including all complications and co-morbidities, and procedures are accurately coded and sequenced according to coding and compliance guidelines utilizing the Optum coding application.
  • Assists with training of new DRG Specialists and coders as requested.
  • Focus emphasis of educational communications on accurate and thorough documentation necessary to support the coding of diagnoses of the principal diagnosis and any secondary diagnoses in accordance with Official Coding Guideline during an episode of care.
  • Formulate physician queries that present indications of a diagnosis that requires clarity in accordance with Compliant Query Practices an UPMC Coding Guidelines
  • Identify and report issues and trends to the coding management. Prepare and present training when requested on accurate code assignment. Pose initiative thoughts for process improvements within the department.
  • Provide coding staff with education on a case level on any coding issues identified during reviews. Counsel/train coders on problems when necessary, in coordination with the Coding Manager and assist in correcting deficiencies in DRG assignment in the form of an educational email.
  • When requested, investigate code assignment from requesting departments to ensure timely, accurate reimbursement.
  • Function as a resource person to respond to special audits and projects assigned by Management or requested by other departments.

Qualifications:
  • 3 years of previous clinical acute care medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRG's.
  • OR completion of Registered Health Information Administration program (RHIA) or Registered Health Information Technician (RHIT) or CCS AND 3 years of experience with the Prospective Payment System and DRG selection;
  • OR specific knowledge as a consultant in Medical Record coding and DRG assignment required.

Preferred Experience:
  • 3 years' experience in an inpatient coding role, or clinical acute care medical/surgical experience to include critical care in conjunction with expanded knowledge of coding and DRG assignment.
  • Knowledge of computer technology, quality assurance activities, DRG methodology background is highly preferred.
  • Ability to communicate with staff, physicians, healthcare providers, and other health care system personnel in a professional and diplomatic manner required.
    Licensure, Certifications, and Clearances:
  • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN)
  • Act 34

*Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.
UPMC is an Equal Opportunity Employer/Disability/Veteran

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