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Optum Health Coding Risk Adjustment Jobs in Atlanta, GA

... company's health and objectives by following PC's risk management strategies, policies, and ... necessary adjustments such as limit increases and policy extensions. * Oversee and maintain ...

... company's health and objectives by following PC's risk management strategies, policies, and ... necessary adjustments such as limit increases and policy extensions. * Oversee and maintain ...

... company's health and objectives by following PC's risk management strategies, policies, and ... necessary adjustments such as limit increases and policy extensions. * Oversee and maintain ...

Deploy a proven risk-based model to ensure health equity and health equality leveraging proprietary ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

... risk adjustment * Support business development efforts for Federal and State governments, employer groups, and other public entities * Participate in the transformation of the health care sector ...

Coder, OP Oncology PRN

Atlanta, GA

$18.50 - $24.50/hr

Minimum one years' experience in acute healthcare setting, preferred. * Coding credentials, i.e ... Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of ...

Coder, OP Oncology PRN

Atlanta, GA ยท On-site

$18.50 - $24.50/hr

Minimum one years' experience in acute healthcare setting, preferred. * Coding credentials, i.e ... Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of ...

Coder, OP Oncology PRN

Atlanta, GA

$18.50 - $24.50/hr

Minimum one years' experience in acute healthcare setting, preferred. * Coding credentials, i.e ... Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of ...

Coder, OP Oncology PRN

Atlanta, GA ยท On-site

$18.50 - $24.50/hr

Minimum one years' experience in acute healthcare setting, preferred. * Coding credentials, i.e ... Knowledge or various encoders (Optum, Clintegrity, Compliance 360 and 3M), to include knowledge of ...

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Optum Health Coding Risk Adjustment information

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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:
What job categories do people searching Optum Health Coding Risk Adjustment jobs in Atlanta, GA look for? The top searched job categories for Optum Health Coding Risk Adjustment jobs in Atlanta, GA are:
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:

Professional Coding Auditor & Educator

Four Winds Health

Atlanta, GA โ€ข Remote

$26 - $29.50/hr

Full-time

Re-posted 19 days ago


Job description

The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services.

Responsibilities:

  • Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission
  • Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges
  • 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 improve charge capture and error correction
  • Meets daily production standards
  • Audits providers on documentation and assigning accurate CPT and ICD-10 codes

Minimum Qualifications:

  • High School diploma or equivalent
  • Active CPC or CCS Certification from AAPC or AHIMA required
  • 3+ years of hands-on auditing experience (not just coding) required
  • Professional billing experience in an urgent care or multi-specialty environment required
  • Direct experience educating physicians/providers on documentation and coding requirements required
  • Experience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions required
  • Energy, enthusiasm, and the ability to work under pressure in a high volume, fast paced environment with high growth

Key Attributes that will Promote Success in this Role:

  • Knowledge of insurance payers, the AR/revenue billing lifecycle and appealing denied claims
  • Strong Critical thinking
  • Experience in billing software and EMR systems, Epic experience a plus
  • Extremely organized with a strong attention to detail
  • Motivated, dependable, and flexible with the ability to handle periods of stress and pressure
  • Stay up to date on coding changes and updates
  • Ability to work within a team environment and maintain a positive attitude

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