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Optum Encoder Jobs in Utah (NOW HIRING)

PB Coding Supervisor

Salt Lake City, UT · On-site

$34.26 - $53.96/hr

Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Skills * Medicare coding guidelines (i.e. NCCI, LCD/NCD) * CPT * HCPCS * ICD-10 * Epic/PB Resolute experience * Accuracy

New

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?

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 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 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 are popular job titles related to Optum Encoder jobs in Utah? For Optum Encoder jobs in Utah, the most frequently searched job titles are:

PB Coding Supervisor

Intermountain Healthcare

West Valley City, UT • On-site

$34.26 - $53.96/hr

Other

Posted 3 days ago

New


Intermountain Health rating

7.2

Company rating: 7.2 out of 10

Based on 841 frontline employees who took The Breakroom Quiz

345th of 887 rated healthcare providers


Job description

Coding Department Supervisor

Responsible for assisting with the day-to-day operations of the coding department including supervision of departmental caregivers, addressing coding issues/questions, overseeing QA audits, and identifying/participating in operational improvements within the coding department.

Essential Functions

Navigate Epic EMR including applicable reports and work queues.

Primary oversight of daily coding functions including monitoring of Epic Coding WQs, in-basket messages, inpatient note report, and timely charge entry to monitor departmental KPIs (i.e. weekly goals, charge lag, etc.)

Participate in the interview process and onboard and orient new caregivers, participate in coaching of caregivers, and drafting and monitoring of corrective action plans, documentation of required touch bases.

Monitor staffing levels, coder productivity, quality assurance audits, and adherence to departmental protocols and guidelines.

Provide day-to-day support for coders including monitoring schedules/flex time, reviewing/approving timecards, ensuring adequate staffing levels, forecasting future resource needs, and action planning for areas outside of goal.

Collaborate with Coding Managers and other departments as needed to meet Medical Group objectives and goals.

Adherence to departmental protocols.

Utilize organizational and departmental tools as applicable (i.e. Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.).

Skills

  • Medicare coding guidelines (i.e. NCCI, LCD/NCD)
  • CPT
  • HCPCS
  • ICD-10
  • Epic/PB Resolute experience
  • Accuracy
  • Detail oriented
  • Collaborative
  • Communication

Qualifications

  • Preferred - High school diploma or equivalent
  • Required - CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)
  • Required – Demonstrated experience in professional fee coding, including Evaluation & Management (E/M) services
  • Preferred - Minimum of two (2) years of professional fee coding experience, coding for assigned specific specialty service lines, prior supervisory experience, and previous Epic experience

Physical Requirements

  • Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
  • Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
  • Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

Location:

Lake Park Building

Work City:

West Valley City

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$34.26 - $53.96

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.


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