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Optum Coding information

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$25

$64

How much do optum coding jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for optum coding in Pennsylvania is $25.03, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $27.47 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 requires knowledge of coding systems such as ICD-10 and CPT, and certifications can enhance job prospects as healthcare organizations continue to prioritize compliance and efficiency.

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 Medical Coder gets paid the most?

Senior or Certified Medical Coders, such as Certified Professional Coders (CPC) or Certified Coding Specialists (CCS), tend to earn the highest salaries in medical coding roles. Experience, specialization in areas like inpatient or outpatient coding, and working in larger healthcare organizations or hospitals can also increase earning potential.

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 an Optum HCC coder job description?

An Optum HCC coder is responsible for reviewing and accurately coding patient medical records using Hierarchical Condition Category (HCC) models to ensure proper risk adjustment and reimbursement. They typically analyze clinical documentation, assign appropriate codes, and may use coding software, requiring knowledge of medical terminology, coding guidelines, and relevant certifications such as CPC or CCS. The role often involves remote work and adherence to compliance standards within healthcare coding environments.

Will a Medical Coder be replaced by AI?

Medical coders, including those working for companies like Optum, perform complex tasks that require understanding medical records and applying coding standards. While AI and automation tools are increasingly used to assist with routine coding, human oversight remains essential to ensure accuracy and handle complex cases, so complete replacement is unlikely in the near term.
What are the most commonly searched types of Optum Coding jobs in Pennsylvania? The most popular types of Optum Coding jobs in Pennsylvania are:
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What cities in Pennsylvania are hiring for Optum Coding jobs? Cities in Pennsylvania with the most Optum Coding job openings:
Optum Coding jobs near you
Infographic showing various Optum Coding job openings in Pennsylvania as of July 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $52,065 per year, or $25 per hour.

Coder II - Technical (Inpatient Coding)

Corporate Revenue Cycle

Pittsburgh, PA • Remote

Other

Posted 11 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

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