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Optum Encoder Jobs in Georgia (NOW HIRING)

Coder, OP Oncology PRN

Atlanta, GA

$18.50 - $24.50/hr

Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of CAC system. PREFERRED: * Credentials from AHIMA or AAPC * Three years coding experience in ...

Coder, OP Oncology PRN

Atlanta, GA

$18.50 - $24.50/hr

Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of CAC system. PREFERRED: * Credentials from AHIMA or AAPC * Three years coding experience in ...

Coder, OP Oncology PRN

Atlanta, GA · On-site

$18.50 - $24.50/hr

Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of CAC system. PREFERRED: * Credentials from AHIMA or AAPC * Three years coding experience in ...

Coder, OP Oncology PRN

Atlanta, GA · On-site

$18.50 - $24.50/hr

Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of CAC system. PREFERRED: * Credentials from AHIMA or AAPC * Three years coding experience in ...

Optum Encoder information

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.
Coder, OP Oncology PRN

$18.50 - $24.50/hr

Other

Posted yesterday


Northside Hospital rating

7.3

Company rating: 7.3 out of 10

Based on 429 frontline employees who took The Breakroom Quiz

293rd of 870 rated healthcare providers


Job description

Overview

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Under the supervision of the HIS IP Coding Reimbursement/Coordination, the Coder III is responsible for reviewing the medical record in its entirety, apply coding guidelines and regulations and assign ICD-CM and/or PCS and CPT diagnoses and procedures codes accurately and timely.  Consistently meet/exceed turnaround times and quality expectations.

Qualifications

REQUIRED:

  • High School diploma or equivalent required
  • Minimum one years' experience in acute healthcare setting, preferred.
  • Coding credentials, i.e. CCS, CIC, COC, CCS-P, CPC, RHIT, and RHIA required.
  • Working knowledge of healthcare revenue cycle functions, including documentation, coding and billing guidelines preferred.
  • Ability to accurately apply ICD-10 diagnosis, procedures and CPT/HCPCs procedure codes preferred.
  • Thorough knowledge of medical terminology, anatomy and physiology, and pharmacology required.
  • Ability to use computers effectively.
  • Excellent communication skills, including written and oral, teaching and presentation skills required.
  • Knowledge of EMR (Cerner, EPIC)
  • Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of CAC system.
  •  PREFERRED:

     

  • Credentials from AHIMA or AAPC
  • Three years coding experience in multispecialty
  • Three to five years' experience in Acute Care, CPT-ICD-10-CM codes.
  • Previous experience with compliance software. Previous imaging system and/or HBOC products.
  • Work Hours:8:30AM-5PMWeekend Requirements:NoOn-Call Requirements:NoEmployment Type: OTHER

    What Northside Hospital employees say

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    About Northside Hospital

    Sourced by ZipRecruiter

    * 288-bed hospital, offering a full range of services including comprehensive and interventional stroke care, preventative and corrective cardiac care, full-service orthopedic and spine treatment, an ER 24/7®, and general surgery * As one of the first hospitals in the area to achieve Atrial Fibrillation Certification (SCPC), our technologically advanced hospital allows our highly skilled physicians, nursing and caregivers to serve our growing community * Northside Hospital was the first nationally recognized Comprehensive Stroke Center in Pinellas County and nationally recognized for quality and safety by earning an 'A' rating from the Leapfrog Group

    Industry

    Hospitals

    Company size

    10,000+ Employees

    Headquarters location

    Atlanta, GA, US

    Year founded

    1970