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Optum Coding Jobs in South Carolina (NOW HIRING)

Intermountain Health

PB Coding Coordinator

Columbia, SC · 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 ...

Intermountain Health

PB Coder

Columbia, SC · On-site

$28.06 - $44.20/hr

Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and ... Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). * Meets or exceeds ...

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Optum Coding information

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 South Carolina?

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

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

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

Optum Coding jobs near you
Infographic showing various Optum Coding job openings in South Carolina as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 67% In-person, and 33% Remote job distribution.

Clinical Analyst & Coding Specialist

Dcode Talent LLC

Columbia, SC • On-site

$55 - $60/hr

Contractor

Re-posted 9 days ago

Job description

Job Summary:
- On-site position; applicants must be local.
- Requires BSN or ADN degree.
- Must have an active, non-restricted South Carolina RN license.
- Must hold current CPC or CCS certification (or obtain within one year); ICD-10 proficiency required.
- Minimum 5 years’ experience in healthcare insurance (medical review, program integrity, or appeals).
- At least 5 years working with IT developers/programmers in a payer environment.
- At least 5 years’ experience with medical coding in a payer environment.
- Minimum 3 years of direct clinical experience with strong assessment and critical thinking skills.
- At least 5 years’ knowledge of ICD, CPT, HCPCS coding, and related methodologies.
- Extensive knowledge (5+ years) of anatomy, physiology, pharmacology, and medical terminology.
- Preferred: 5+ years’ experience in policy remediation.
- Preferred: 5+ years’ experience with claims processing systems.
- Preferred: 5+ years’ experience using Optum Encoder or similar medical coding software.