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Optum Encoder Jobs in Nevada (NOW HIRING)

Intermountain Health

PB Coding Coordinator

Carson City, NV · 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 ...

CenterWell

Consultative Coding Professional

Carson City, NV · On-site

$18.25 - $24.50/hr

Experience with Optum Encoder or AthenaOne EMR * CRC or CDEO * Comfortable with public speaking Use your skills to make an impact Alert Humana values personal identity protection. Please be aware ...

Centerwell

Consultative Coding Professional

Carson City, NV · On-site

$18.25 - $24.50/hr

Experience with Optum Encoder or AthenaOne EMR * CRC or CDEO * Comfortable with public speaking Use your skills to make an impact Alert Humana values personal identity protection. Please be aware ...

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Optum Encoder information

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.

What are popular job titles related to Optum Encoder jobs in Nevada?

For Optum Encoder jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Optum Encoder jobs in Nevada look for?

The top searched job categories for Optum Encoder jobs in Nevada are:

What cities in Nevada are hiring for Optum Encoder jobs?

Cities in Nevada with the most Optum Encoder job openings:

Optum Encoder jobs near you
Infographic showing various Optum Encoder job openings in Nevada as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Consultative Coding Professional

CenterWell Senior Primary Care

Las Vegas, NV • On-site

$18 - $24/hr

Other

Posted 19 days ago

CenterWell Senior Primary Care rating

7.6

Company rating: 7.6 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

9th of 242 rated social care providers

Job description

Consultative Coder

The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ensure the documentation within medical records supports diagnostic and procedural coding. This is a hybrid-remote role where the majority of the work will be done from home; but the role will occasionally use Humana office space for collaboration and other face-to-face needs.

Candidate must reside in Las Vegas, NV.

Responsibilities:
  • Cultivate relationships with clinicians to serve as the single contact for questions and issues relating to documentation and coding.
  • Identify documentation improvement areas and partner with clinical and coding education to deliver education related to improvement opportunities.
  • Perform Quality Assurance on post-visit reviews.
  • Manage the special handling of Mergers & Acquisitions by performing problem list cleanup and conducting process training on documentation requirements.
  • Collaborate with HEDIS leaders and champions to identify HEDIS gaps and deficiencies.
Required:
  • 3 or more years of technical Medical Coding experience or similar (including IPA and Offshore coding management)
  • RHIA, RHIT, CCS, or CPC Certification
  • Must reside in Las Vegas, NV
  • Will travel a min of 1 week a month to assigned clinics
  • Proficient in MS Office Suite and Zoom/Teams
  • Must be comfortable presenting on camera
Other:
  • Experience with Optum Encoder or AthenaOne EMR
  • CRC or CDEO
  • Comfortable with public speaking

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