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Optum Encoder Jobs (NOW HIRING)

Proficiency with EHR and encoder/coding tools (e.g., Epic, Cerner, 3M, Optum) and Microsoft Office. * Excellent attention to detail, analytical skills, and ability to manage multiple priorities.

Coding Specialist

New Orleans, LA · Remote

$19 - $22/hr

Proficiency with encoder tools (3M, TruCode, Optum EncoderPro, or comparable) and EHR, PMS systems * Strong understanding of clinical documentation and ability to draft compliant, non-leading ...

Proficiency with encoder tools (3M, TruCode, Optum EncoderPro, or comparable) and EHR, PMS systems * Strong understanding of clinical documentation and ability to draft compliant, non-leading ...

New

Coding Specialist

New Orleans, LA · On-site +1

$19 - $22/hr

Proficiency with encoder tools (3M, TruCode, Optum EncoderPro, or comparable) and EHR, PMS systems * Strong understanding of clinical documentation and ability to draft compliant, non-leading ...

Proficiency with encoder tools (3M, TruCode, Optum EncoderPro, or comparable) and EHR, PMS systems * Strong understanding of clinical documentation and ability to draft compliant, non-leading ...

Coding Supervisor

$60K - $107K/yr

Remote Coding Supervisor Optum is a global organization that delivers care, aided by technology, to ... with EMR and Encoder software * Intermediate level of proficiency using a PC in a Windows ...

New

Inpatient Coding Auditor

Tampa, FL · Remote

$24.50 - $27.75/hr

Other duties as assigned. - Experience with Optum CAC and Optum Audit and Compliance Manager ... and Encoder software. [Required] • Self-motivated and able to work independently in a remote ...

Coding Supervisor

$60K - $107K/yr

Remote Coding Supervisor Optum is a global organization that delivers care, aided by technology, to ... with EMR and Encoder software * Intermediate level of proficiency using a PC in a Windows ...

Coding Supervisor

Eden Prairie, MN · Remote

$60K - $107K/yr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... with EMR and Encoder software * Intermediate level of proficiency using a PC in a Windows ...

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Optum Encoder information

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$57

$79

$96

How much do optum encoder jobs pay per hour?

As of Jul 8, 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
What cities are hiring for Optum Encoder jobs? Cities with the most Optum Encoder job openings:
What states have the most Optum Encoder jobs? States with the most job openings for Optum Encoder jobs include:
Infographic showing various Optum Encoder job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 88% Full Time, 6% Part Time, 1% Temporary, and 3% Contract. Highlights an 73% Physical, 1% Hybrid, and 26% Remote job distribution, with an average salary of $165,436 per year, or $79.5 per hour.
Professional Fee Coder

Professional Fee Coder

PF Concepts

Fairfield, NJ • Remote

$29 - $35/hr

Other

Medical, Dental, Vision, Retirement, PTO

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


Job description

Description

Required: Inpatient Neonatal, pediatric, and critical care professional fee coding experience 


Location: Remote


Job Summary: The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines.

Responsibilities include, but are not limited to:

  • Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services.
  • Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time and ensure documentation supports code selection.
  • Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies.
  • Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when applicable.
  • Query providers for clarification when documentation is incomplete or ambiguous, following compliant query practices.
  • Meet established productivity, accuracy, and turnaround time standards to support billing and revenue cycle goals.
  • Collaborate with billing/denials teams to resolve coding-related rejections and provide supporting rationale for appeals as needed.
  • Maintain confidentiality and comply with HIPAA and organizational policies when handling protected health information.
  • Stay current with coding guideline updates, payer changes, and compliance requirements; complete required continuing education.
  • Participate in internal quality reviews and implement corrective actions to improve coding accuracy.

 Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Paid training
  • Tuition reimbursement
  • Vision insurance

Pay: $29.00 - $35/hour  

Requirements

Qualifications 

  • 3+ years of recent professional fee (physician) coding experience; multi-specialty experience preferred.
  • Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and payer guidelines.
  • Experience applying current E/M coding guidelines and common professional fee compliance requirements.
  • Proficiency with EHR and encoder/coding tools (e.g., Epic, Cerner, 3M, Optum) and Microsoft Office.
  • Excellent attention to detail, analytical skills, and ability to manage multiple priorities.
  • Effective communication skills for provider/coder collaboration and documentation clarification.
  • Active coding certification required (CPC or CCS/CCA); CPMA or specialty credential is a plus.
  • Must be credentialed from AAPC or AHIMA, AAPC preferred.