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Optum Medical Coding Jobs in New York (NOW HIRING)

... Utilize coding resources and audit databases such as Optum 360, Context 4, and Find-A-Code to ... professional medical coding experience. - Experience with New York and/or New Jersey Workers ...

New

Certification- CCS (Certified Coding Specialist) * Experience with EPIC, Optum AS (inpatient coding program) * 3-5 years working experience as inpatient acute care medical coder (Cardiovascular ...

Ensure medical necessity and proper linkage of diagnoses to services and resolve coding edits ... Proficiency with EHR and coding applications such as Epic, Cerner, 3M, or Optum. * Strong attention ...

Medical Director

Manhattan, NY · On-site

$300K - $325K/yr

Medical FLSA CODE : Exempt PROGRAM : OASAS Certified Residential and Outpatient Services LOCATION ... Optum Financial Service through ConnectYourCare * Benefit Advocacy Center through Gallagher MAJOR ...

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Optum Medical Coding information

See New York salary details

$16

$28

$41

How much do optum medical coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for optum medical coding in New York is $28.83, according to ZipRecruiter salary data. Most workers in this role earn between $23.65 and $32.36 per hour, depending on experience, location, and employer.

What is an Optum Medical Coding?

An Optum Medical Coding job involves reviewing medical records and assigning standardized codes for diagnoses, procedures, and treatments. These codes are used for billing, insurance claims, and healthcare data analysis. Coders must follow industry regulations, such as ICD-10, CPT, and HCPCS coding systems. Accuracy and compliance are crucial to ensure proper reimbursement and minimize claim denials. Optum medical coders may work remotely or in healthcare facilities, collaborating with providers and billing teams.

What are the key skills and qualifications needed to thrive in the Optum Medical Coding position?

To thrive as an Optum Medical Coding specialist, you need a solid understanding of medical terminology, anatomy, and ICD-10-CM, CPT, or HCPCS coding systems, often supported by a relevant certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems and medical billing software is essential for accurately capturing and processing patient data. Attention to detail, analytical thinking, and strong communication skills help ensure precise code assignment and effective collaboration with healthcare providers. These competencies are crucial to ensure claims are accurate, compliant, and processed efficiently, supporting optimal billing outcomes and healthcare operations.

What qualifications do I need for Optum Medical Coding?

Optum Medical Coding positions typically require a high school diploma or equivalent, along with certification such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Knowledge of medical terminology, anatomy, and coding systems like ICD-10 and CPT is essential, and prior experience or training in medical coding is often preferred.

What are the typical daily tasks for someone working in Optum Medical Coding?

As an Optum Medical Coding professional, your daily responsibilities involve reviewing clinical documentation, accurately assigning appropriate medical codes for diagnoses and procedures, and ensuring that billing submissions comply with regulatory requirements. You may regularly communicate with physicians or clinical staff to clarify documentation or resolve discrepancies. Additionally, coders often participate in audits, ongoing education, and quality assurance checks to maintain high standards of coding accuracy. The role typically involves working with a supportive team of other coders, billing specialists, and healthcare professionals, often in a remote or office-based setting.

What are the most commonly searched types of Optum Medical Coding jobs in New York? The most popular types of Optum Medical Coding jobs in New York are:
What cities in New York are hiring for Optum Medical Coding jobs? Cities in New York with the most Optum Medical Coding job openings:
Infographic showing various Optum Medical Coding job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $59,974 per year, or $28.8 per hour.

Certified Medical Coder

AppleOne

New York, NY • Remote

$70K/yr

Full-time

Medical, Dental, Vision, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Location: Remote (Northeast U.S.)
Schedule: Monday–Friday | 8:00 AM–4:30 PM (Flexible)
Hours: Candidates must be available to work standard East Coast (Eastern Time) business hours.

Employment Type: Direct Hire
Salary: $60,000–$70,000 annually

About the Role

Large medical claims support company is seeking an experienced Certified Medical Coder (CPC) to join their Bill Review team. This position is ideal for a detail-oriented coding professional with experience reviewing medical bills for New York and/or New Jersey Workers' Compensation and No-Fault claims. In this role, you will analyze medical records and billing documentation, audit coding accuracy, determine compliance with applicable fee schedules, and prepare written reports to support legal proceedings. The ideal candidate has strong analytical skills, extensive knowledge of medical coding guidelines, and the ability to communicate findings clearly and professionally. This is a remote opportunity offering flexible scheduling, independent case management, and the opportunity to work on complex medical billing reviews.
Key Responsibilities

- Review physician and facility medical bills for compliance with New York and New Jersey Workers' Compensation and No-Fault fee schedules.

- Audit medical claims using ICD-10-CM, CPT, HCPCS, DRG, and related coding systems.

- Analyze clinical documentation to determine medical necessity and patient stabilization in complex cases.

- Identify coding discrepancies, including upcoding, unbundling, and other billing inaccuracies.

- Prepare detailed cost reports, affidavits, and written findings to support legal proceedings, arbitrations, and claim resolution.

- Collaborate with internal teams and healthcare providers to evaluate bills that fall outside standard fee schedule guidelines.

- Utilize coding resources and audit databases such as Optum 360, Context 4, and Find-A-Code to support claim reviews.

- Maintain accurate documentation while ensuring HIPAA compliance and confidentiality.

- Provide administrative support to the Bill Review Department to ensure efficient day-to-day operations.


- Stay current on coding regulations, payer guidelines, and applicable state and federal requirements.

- Serve as an expert witness or provide testimony in legal proceedings when required.



Qualifications

- Active Certified Professional Coder (CPC) certification through AAPC or equivalent certification (such as CCS through AHIMA).

- 3–5 years of professional medical coding experience.

- Experience with New York and/or New Jersey Workers' Compensation and No-Fault billing and fee schedules.

- Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, CDT, DRG, and EAPG coding methodologies.

- Experience performing coding audits and medical bill reviews.

- Excellent analytical, organizational, and written communication skills.

- Ability to work independently in a deadline-driven environment.

- Must be legally authorized to work in the United States.

- Must be available to work standard Eastern Time (ET) business hours.


Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
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Company Description

This company offers growth and a great group of people to work with.


AppleOne logo

About AppleOne

Sourced by ZipRecruiter

AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Glendale, CA, US

Year founded

1964