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Optum Coding Jobs in Massachusetts (NOW HIRING)

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

Medical Coder

Worcester, MA · On-site

$18.75 - $25/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Responds to coding related inquiries from providers and support staff and others as requested

New

Medical Coder

Worcester, MA · Remote

$18.75 - $25/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Responds to coding related inquiries from providers and support staff and others as requested

New

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 ...

Optum Insight is improving the flow of health data and information to create a more connected ... Working knowledge of medical terminology and claim coding with familiarity of CPT-4, HCPCs and ICD ...

Optum Insight is improving the flow of health data and information to create a more connected ... Working knowledge of medical terminology and claim coding with familiarity of CPT-4, HCPCs and ICD ...

... data coding, creation of algorithms, linkage of datasets, and use of statistical packages or ... Deep expertise analyzing RWE data sources such as Optum (Clinformatics Datamart ® and Market ...

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Optum Coding information

See Massachusetts salary details

$11

$29

$77

How much do optum coding jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for optum coding in Massachusetts is $29.84, according to ZipRecruiter salary data. Most workers in this role earn between $18.05 and $32.75 per hour, depending on experience, location, and employer.

What is an Optum Coding?

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 are the key skills and qualifications needed to thrive in Optum Coding, 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.

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.

Does Optum Coding have remote jobs?

Optum Coding positions often offer remote work options, especially for experienced coders with certifications like CPC or CCS. Remote coding jobs typically require strong computer skills, knowledge of coding guidelines, and adherence to HIPAA regulations.

What are popular job titles related to Optum Coding jobs in Massachusetts?

For Optum Coding jobs in Massachusetts, the most frequently searched job titles are:

What job categories do people searching Optum Coding jobs in Massachusetts look for?

The top searched job categories for Optum Coding jobs in Massachusetts are:

What cities in Massachusetts are hiring for Optum Coding jobs?

Cities in Massachusetts with the most Optum Coding job openings:

Infographic showing various Optum Coding job openings in Massachusetts as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 85% Full Time, 9% Part Time, and 4% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution, with an average salary of $62,077 per year, or $29.8 per hour.

Full-time

Re-posted 5 days 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