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Optum Coding information

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.
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Optum Coding jobs near you
Infographic showing various Optum Coding job openings in Texas as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution.
NP or PA - Outpatient Primary Care - WellMed at Remcon - El Paso, TX

NP or PA - Outpatient Primary Care - WellMed at Remcon - El Paso, TX

UnitedHealth Group

North Houston, TX

$15K/yr

Full-time

Medical, Retirement, PTO

Posted 15 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 889 rated healthcare providers

Job description

A partner of the Optum Care network, WellMed, is seeking an APC to join us at our Remcon clinic location in El Paso, TX.  Optum is a clinician-led care organization that is changing the way clinicians work and live.
 

As a member of the Optum Care Delivery team, you'll be an integral part of Optum's vision to make healthcare better for everyone.
 

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives.  Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim.  We believe you deserve an exceptional career, and will empower you to live your best life at work and at home.  Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country.  Because together, we have the power to make health care better for everyone.  Join us an discover how rewarding medicine can be while Caring. Connecting. Growing together. 

Position Highlights:

  • Quality vs. quantity - typically see 14 to 16 patients per day

  • Instead of RVU or volume metrics, our providers are measured and rewarded on quality of care (most clinicians earn $15,000 bonus, paid semi-annually)

  • Start with 184 hours PTO in first year, plus 5 days for CME, and the clinics are closed for 8 national holidays

  • Strong clinical support team that includes RNs, LVNs, MAs, scribes, nurse educators, case managers, clinic administrators, referral managers, coders, centralized scheduling, nurse advice line, and robust IT

  • Collaborate with our primary care physicians (IM & FM), hospitalists, and network of employed/contracted sub-specialists

What makes an Optum Career different?

  • As the largest employer of Advanced Practice Clinicians, we have a best-in-class employee experience and enable you to practice at the top of your license  
  • We believe that better care for clinicians equates to better care for patients 
  • We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations 
  • We grow talent from within. No matter where you want to go- geographically or professionally- you can do it here  

Compensation/Benefits Highlights:

  • Base salary plus annual quality bonus with a target of $15,000

  • 401k with match, Executive Savings Plan, and UHG Employee Stock Purchase Program

  • More comprehensive benefits from Optum Partner Services

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • Certification through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), or the National Commission on Certification of Physician Assistants (NCCPA)
  • Current Licensure through the Texas Board of Nurse Examiners OR Physician Assistant license by the Texas State Medical Board
  • Valid DEA license or the ability to obtain one prior to employment
  • Comfortable managing a primarily Medicare-aged patient population

Preferred Qualifications:

  • A working understanding and support of a managed care environment
  • 1+ year o fclinical experience as a Nurse Practitioner or Physician Assistant
  • Bilingual (English/Spanish) fluency

Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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