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Optum Encoder Jobs (NOW HIRING)

Centene

RN Readmission Manager, Payment Integrity

OR · On-site +1

... Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required. Position Purpose: Manages a team of auditors and clinical professionals and is accountable for ...

Centene

RN Readmission Manager, Payment Integrity

... Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required. Position Purpose: Manages a team of auditors and clinical professionals and is accountable for ...

Centene

Manager, Payment Integrity- Readmission

$87K - $157K/yr

... 3M, Optum Encoder, TruCode, TruBridge, WebSTRAT, Payment Systems Incorporated, or similar tools), required. * Experience working with payer claims systems preferred. * Demonstrated experience ...

Minnesota Jobs

PB Coding Coordinator

Saint Paul, MN · 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 ...

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How much do optum encoder jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for optum encoder in the United States is $79.54, according to ZipRecruiter salary data. Most workers in this role earn between $62.50 and $96.15 per hour, depending on experience, location, and employer.

What is an Optum Encoder?

Optum Encoders are specialized healthcare professionals who use Optum's medical coding software to accurately translate clinical documentation into standardized medical codes. These codes are used for billing, insurance claims, and maintaining patient records. Optum Encoders play a critical role in ensuring that healthcare providers receive proper reimbursement and comply with regulatory requirements. They must be knowledgeable about medical terminology, coding guidelines, and healthcare regulations. Their work helps streamline administrative processes and improve data quality in the healthcare industry.

What are the key skills and qualifications needed to thrive as an Optum Encoder?

To excel as an Optum Encoder, you need a solid understanding of medical coding systems (such as ICD-10, CPT, and HCPCS) and typically a certification like CPC or CCS. Familiarity with Optum’s 3M Encoder software, electronic health records (EHRs), and hospital information systems is also crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for ensuring coding accuracy and collaborating with clinical and billing teams. These abilities are important to ensure precise coding, regulatory compliance, and optimal reimbursement for healthcare services.

What are some common challenges faced by Optum Encoders when working with complex medical records?

Optum Encoders often encounter challenges such as interpreting incomplete or ambiguous clinical documentation, keeping up-to-date with evolving coding standards, and ensuring high levels of accuracy under tight deadlines. Collaboration with healthcare providers and coding auditors is frequently required to clarify information and resolve discrepancies. Staying detail-oriented and proactive in seeking clarification helps maintain compliance and reduce errors, while also providing opportunities to learn and grow in the role.

What is the difference between Optum Encoder vs Medical Coder?

AspectOptum EncoderMedical Coder
CertificationsTypically requires coding certifications like CPC or CCSOften requires CPC, CCS, or similar certifications
Work EnvironmentHealthcare facilities, insurance companies, remote optionsHospitals, clinics, insurance companies, remote work common
Industry UsageUsed mainly in healthcare and insurance sectorsWidely used across healthcare providers and insurance
Job ResponsibilitiesEncoding medical records for billing and documentationAssigning standardized codes to medical diagnoses and procedures

Both Optum Encoder and Medical Coder roles involve medical coding, often requiring similar certifications and working in healthcare environments. While Optum Encoder may be specific to Optum's systems and processes, Medical Coder is a broader role found across many healthcare organizations. Understanding these similarities helps in choosing the right career path or job search focus.

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Optum Encoder jobs near you
Infographic showing various Optum Encoder job openings in the United States as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $165,436 per year, or $79.5 per hour.

Senior Epic Medical Coder - Specialty Billing & Denials

10700 Revenue Cycle Organization

Resaca, GA • Remote

$16.50 - $22/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Intermountain Health is seeking a seasoned medical coder to evaluate and resolve coding edits in Epic WQs, assign CPT/HCPCS/ICD-10 codes, and review documentation across follow-up work queues. The role requires CPC or CCS-P credentials and a minimum of five years of professional fee coding, including experience in the assigned specialty. Epic and Optum Encoder Pro proficiency are preferred. You will educate providers and coders, perform QA audits, and ensure compliance with coding regulations #J-18808-Ljbffr

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