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$96

How much do optum encoder jobs pay per hour?

As of Aug 1, 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 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.

What are the key skills and qualifications needed to thrive as an Optum Encoder, and why are they important?

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 Optum Encoders?

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

Clinical Analyst & Coding Specialist

Dcode Talent LLC

Columbia, SC • On-site

$55 - $60/hr

Contractor

Re-posted 14 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.