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Optum Health Coding Risk Adjustment Jobs in Florida

... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... Provide education and baseline support for risk adjustment documentation before coder SME ...

HCC Risk Coder

Leesburg, FL · On-site

$16.75 - $22.25/hr

... Health Plans. • Help coordinate training sessions for Physicians and staff on relevant coding ... An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ...

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

HCC Coder (Lecanto)

Lecanto, FL

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...

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Optum Health Coding Risk Adjustment information

What are the typical daily responsibilities of an Optum Health Coding Risk Adjustment specialist?

On a daily basis, Optum Health Coding Risk Adjustment specialists review medical records to identify and accurately code diagnoses, ensuring completeness and compliance with risk adjustment requirements. They collaborate closely with clinical teams and other coders to clarify documentation and resolve discrepancies. The role often involves conducting chart audits, submitting coding queries, and staying updated on the latest coding guidelines and regulatory changes. Attention to deadlines and maintaining data quality are key parts of the job, making it both detail-oriented and highly collaborative.

What is an Optum Health Coding Risk Adjustment job?

An Optum Health Coding Risk Adjustment job involves reviewing medical records to assign appropriate diagnosis codes that impact risk adjustment programs. These coders ensure accurate documentation of chronic conditions to support healthcare reimbursement models. They work with providers to improve coding accuracy and compliance with regulatory guidelines. Strong knowledge of ICD-10-CM coding, risk adjustment models, and healthcare regulations is essential.

What are the key skills and qualifications needed to thrive in the Optum Health Coding Risk Adjustment position, and why are they important?

To thrive as an Optum Health Coding Risk Adjustment professional, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and medical terminology, often supported by certifications like CPC, CRC, or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, regulatory compliance, and optimal risk adjustment, directly impacting healthcare quality and reimbursement.

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Florida? The most popular types of Optum Health Coding Risk Adjustment jobs in Florida are:
What are popular job titles related to Optum Health Coding Risk Adjustment jobs in Florida? For Optum Health Coding Risk Adjustment jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Optum Health Coding Risk Adjustment jobs in Florida look for? The top searched job categories for Optum Health Coding Risk Adjustment jobs in Florida are:
Certified Coding Specialist or Certified Professional Coder

Certified Coding Specialist or Certified Professional Coder

Healthcare Support Staffing

Tampa, FL

Contractor

Medical, Dental, Vision, Retirement, PTO

Posted 20 days ago


Job description

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes.

Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9). Always coding to the highest level of specificity

Follows the Official ICD-9 guidelines for Coding and Reporting and has a complete understanding of these guidelines

Follows CMS risk adjustment guidelines and has a complete understanding of these guidelines

Understands the impact of ICD-9 codes on the CMS HCC risk adjustment model

Ability to meet productivity and accuracy standards

Ability to defend coding decisions to both internal and external audits

Qualifications

A High School or GED Required

2+ years of experience in professional coding experience either in a hospital or physician setting

Knowledge of medical terminology and/or experience with CPT and ICD-9 coding

Ability to work independently

Other Working knowledge of CMS risk adjustment model Intermediate

Additional Information

Hours for this Position:

Monday-Friday 8:00am am-5:00pm 

Advantages of this Opportunity: 

Competitive salary 

Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO 

Growth potential 

Fun and positive work environment




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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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