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Optum Coding Jobs in Baltimore, MD (NOW HIRING)

UnitedHealth Group

RN, Home Health

Largo, MD

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

RN, Home Health

Largo, MD · On-site

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse Home Health

Largo, MD · On-site

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Baltimore, MD

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Annapolis, MD · On-site

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

RN, Home Health

Owings Mills, MD

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Baltimore, MD · On-site

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Catonsville, MD · On-site

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Baltimore, MD

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Largo, MD

$36.98 - $81.63/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Baltimore, MD

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Columbia, MD · On-site

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

UnitedHealth Group

Registered Nurse

Catonsville, MD

$45.71 - $68.56/hr

As members of the Optum family of businesses, we are dedicated to helping people feel their best ... data sets, coding requests, and coordination with other clinicians * Communicates timely and ...

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All JobsOptum Coding JobsOptum Coding Jobs in Baltimore, MD

Optum Coding information

See Baltimore, MD salary details

$11

$27

$72

How much do optum coding jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for optum coding in Baltimore, MD is $27.97, according to ZipRecruiter salary data. Most workers in this role earn between $16.91 and $30.69 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 popular job titles related to Optum Coding jobs in Baltimore, MD? For Optum Coding jobs in Baltimore, MD, the most frequently searched job titles are:
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Optum Coding jobs near you
Infographic showing various Optum Coding job openings in Baltimore, MD as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 85% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $58,170 per year, or $28 per hour.
Payment Integrity Program Development Manager

Payment Integrity Program Development Manager

Devoted Health

Nottingham, MD • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Devoted Health rating

9.0

Company rating: 9.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

33rd of 281 rated insurance

Job description

Job Description
A bit about this role:
At Devoted, our mission is to build trust with our providers and members by ensuring claims are paid accurately and on time with transparent policies. Our Payment Integrity Concept Development Department is at the forefront of this effort, ensuring provider claims are paid correctly, free of errors, and aligned with contractual terms.
As our Payment Integrity Program Development Manager you will serve as a premier coding and billing regulations expert operating in a high-autonomy, outcomes-driven Individual Contributor (IC) role. We give our managers creative liberty to design innovative concepts across the entire spectrum of prospective pre- and post-payment edits and audits. You will bridge coding and billing expertise, regulatory policy, and data analytics to transform complex guidelines into intelligent, automated payment integrity software logic
Your responsibilities and impact will include:
  • Innovative Concept & Rule Development (The Crux of the Role): Manage the full lifecycle of edit and audit development - from initial coding and billing hypothesis to detailed rule design. Convert complex medical policy, CMS rules, AMA/CPT guidance, and coding regulations into actionable logic specifications, mapping out precise conditions, exclusions, thresholds, and flags.
  • Hypothesis Testing & Data Querying: Must be capable of running data queries to prove the financial validity of a coding and billing hypothesis and authoring the resulting technical specification document. (Note: We provide modern AI tools to generate and edit SQL scripts; you do not need to be a software expert, but you must possess the ability to read, interpret, and understand data scripts to validate results and analyze proof-of-concept datasets).
  • Defensible Policy & Friction Management: Design payment policies where CMS guidance needs to be supplemented to ensure defensibility in supporting the concept. Proactively anticipate downstream appeal behaviors and provider disputes to craft strong explanatory narratives within the rule design.
  • Performance Optimization: Post-release, improve concept efficacy, false positives, and provider abrasion, continuously refining active rules based on real-world results and updated behavioral trends.
  • AI Workflow Adoption: Use large language models (LLMs) or automated pattern-matching tools to review claim trends and develop narratives, accelerating the translation of signal into active payment logic.
  • Regulatory Policy Mapping: Connect identified billing anomalies directly to published primary defense sources, including CMS guidelines, NCCI bundling frameworks, LCD/NCD rules, and AMA coding mandates.
  • Project & Portfolio Management: Plan, organize, and coordinate discrete initiatives and concepts to achieve specific, measurable payment accuracy goals and deadlines. Proactively identify pipeline obstacles, problem-solve execution blocks, and implement logic adjustments to drive greater efficiency.
  • Cross-Functional Alignment: Partner with PI Directors, internal auditors, SIU, and claims operations to ensure coding and billing appropriateness, regulatory compliance, and cross-functional strategic alignment.

Required skills and experience:
  • Bachelor's degree and a minimum of 4 years of relevant professional experience within a health plan, payment integrity vendor, or healthcare revenue cycle environment.
  • Proven subject matter expertise as a coding and billing regulations expert, with deep familiarity interpreting CMS policies (LCDs, NCDs, LCAs), NCCI bundling edits, and provider manuals.
  • Demonstrated experience and comfort with concept development logic, including a proven track record of writing logic rules or structural guidelines for claims processing implementation.
  • Demonstrated ability to plan, organize, and coordinate individual concepts and initiatives, utilizing strong problem-solving skills to clear operational obstacles and meet deadlines.
  • Strong analytical literacy with the ability to read, interpret, and validate data query scripts or advanced spreadsheets to confirm edit efficacy and check coding and billing hypotheses.

Desired skills and experience:
  • Preferred Certification: Active Certified Professional Coder (CPC) designation or similar professional coding certification.
  • Advanced experience with institutional/facility billing rules (MS-DRG, APR-DRG, APC/OPPS, revenue codes) and facility packaging workflows.
  • Direct experience analyzing, writing, or defending concepts regarding Pharmacy Part D parameters and High-Cost Drugs under Part B (dosing, wastage, compounding, and J-code configurations).
  • Additional national credentials such as Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), or Registered Health Information Administrator (RHIA).
  • Familiarity with industry claims rules platforms (e.g., Optum/CES, Cotiviti, McKesson) and Medicare Advantage framework guidelines

#LI-Remote
Salary Range: $73,000-$120.000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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