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Optum Health Coding Risk Adjustment Jobs in Atlanta, GA

Emory Healthcare

CDCE Data Analyst

Atlanta, GA

$52.37 - $65.06/hr

At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits ... Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)

Emory Healthcare

CDCE Data Analyst

Atlanta, GA

At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits ... Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)

Emory Healthcare

CDCE Data Analyst

Atlanta, GA

At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits ... Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)

Emory Inc.

CDCE Data Analyst

Atlanta, GA · On-site

At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits ... Risk adjustment trends * Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)

Guidehealth

Healthguide - Community Resource

Atlanta, GA · On-site +1

$21.25 - $27/hr

Experience supporting value-based care, population health, care gap closure, quality performance, risk adjustment, or total cost of care initiatives. * Experience working with high-risk patient ...

New

Guidehealth

Healthguide - Community Resource

Atlanta, GA

$21.25 - $27/hr

Experience supporting value-based care, population health, care gap closure, quality performance, risk adjustment, or total cost of care initiatives. * Experience working with high-risk patient ...

New

Guidehealth

Healthguide - Community Resource

Atlanta, GA

$21.25 - $27/hr

Experience supporting value-based care, population health, care gap closure, quality performance, risk adjustment, or total cost of care initiatives.Experience working with high-risk patient ...

New

Enlace Health

Senior Medical Economics Analyst

Atlanta, GA

$84K - $112K/yr

CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ... Enlace Health offers competitive benefits and perks to all our employees! Our comprehensive ...

Enlace Health

Senior Medical Economics Analyst

Atlanta, GA · On-site

$84K - $112K/yr

CMS revenue and risk adjustment data * Value-based performance datasets * Strong proficiency in SQL ... Enlace Health offers competitive benefits and perks to all our employees! Our comprehensive ...

Deloitte

Medicaid Actuarial Manager

Atlanta, GA · On-site

Experience with risk adjustment mechanisms * Experience with Provider reimbursement streams (i.e., DSH, UPL, etc.) * Experience with health care reform and working knowledge of the individual medical ...

Four Winds Health

Coding Provider Liaison

Atlanta, GA · Remote

Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete * Identifies inconsistencies in medical reports and works with healthcare staff to ...

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How much do optum health coding risk adjustment jobs pay per hour?

As of Jul 19, 2026, the average hourly pay for optum health coding risk adjustment in Atlanta, GA is $25.34, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $28.41 per hour, depending on experience, location, and employer.

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 Atlanta, GA? The most popular types of Optum Health Coding Risk Adjustment jobs in Atlanta, GA are:
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What cities near Atlanta, GA are hiring for Optum Health Coding Risk Adjustment jobs? Cities near Atlanta, GA with the most Optum Health Coding Risk Adjustment job openings:
Optum Health Coding Risk Adjustment jobs near you
CDCE Data Analyst

CDCE Data Analyst

Emory Healthcare

Atlanta, GA

$52.37 - $65.06/hr

Full-time

Re-posted 19 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 211 frontline employees who took The Breakroom Quiz

158th of 886 rated healthcare providers

Job description

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

  • Comprehensive health benefits that start day 1 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs  
  • And more 

Overview

The CDCE Data Analyst at Emory Healthcare provides strategic and operational support through the analysis of clinical, financial, and claims data. This role is responsible for leveraging large datasets—including MEDPAR, Vizient, Quality data, and internal claims—to benchmark organizational performance and identify opportunities for improvement in Clinical Documentation Integrity (CDI), coding accuracy, and provider documentation practices. The analyst plays a key role in driving improvements in Case Mix Index (CMI), risk adjustment, and departmental performance by identifying trends and delivering actionable insights. This position collaborates closely with mid-revenue cycle leadership, vendors, and digital teams, utilizing platforms such as Epic, Solventum, Vizient, and other systems to support data-driven decision-making and business application optimization.

Key ResponsibilitiesData Extraction, Validation, and Analysis
  • Develop and execute advanced data queries using programming languages to extract and integrate data from multiple sources
  • Validate data accuracy and ensure integrity of datasets
  • Analyze structured and unstructured data to identify meaningful trends and performance metrics
  • Collect, interpret, and evaluate clinical documentation data to identify opportunities for improvement
Performance Metrics & Trend Analysis
  • Analyze trends in documentation quality, coding accuracy, and financial performance
  • Identify patterns, gaps, and areas of focus impacting quality outcomes and reimbursement
  • Support initiatives to improve CMI, risk adjustment, and overall documentation quality
Reporting & Dashboard Development
  • Design and develop dashboards and visual reports for CDI leadership, physicians, and quality teams
  • Monitor and report on key performance indicators (KPIs), including:
    • Financial impact
    • Risk adjustment trends
    • Patient Safety Indicators (PSI) and Hospital-Acquired Conditions (HAC)
    • Provider performance metrics
Compliance & Audit Readiness
  • Monitor documentation practices for compliance with CMS, ICD-10, and payer requirements
  • Support internal audits and external reviews by preparing and validating data
  • Ensure reporting aligns with regulatory and organizational standards
Collaboration & Strategic Insights
  • Partner with CDI specialists, coders, and clinical teams to translate data insights into actionable strategies
  • Provide feedback to enhance provider education and documentation workflows
  • Collaborate with vendors and digital teams to optimize system functionality and reporting tools
  • Support business decisions related to data applications and mid-revenue cycle systems
Minimum QualificationsEducation
  • Bachelor’s degree in Computer Science, Health Information Management (HIM), Data Analytics, or a related field
Required Skills & Experience
  • Proficiency in data analysis and programming tools, including:
    • SQL, SAS, Python
    • Microsoft Excel
    • Power BI, Tableau
    • Cloud platforms (AWS and/or Azure)
  • Strong analytical and problem-solving skills
  • Advanced ability to write code, merge datasets, and validate analysis results
  • Knowledge of clinical documentation standards, healthcare regulations, and industry practices
  • Excellent communication and interpersonal skills
  • Ability to work independently and collaboratively in a team environment
Preferred Qualifications
  • Master’s degree in Computer Science, Health Information Management (HIM), Data Analytics, or a related fields.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

  

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.  

 

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. 
 
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

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