At the start of each day, review your virtual and coding worklists in Optum to prioritize work. * Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated ...
At the start of each day, review your virtual and coding worklists in Optum to prioritize work. * Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated ...
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Coding Analyst
Richardson, TX · On-site
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Coding Analyst
Richardson, TX · On-site
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Coding Analyst
Richardson, TX · On-site
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Coding Analyst
Richardson, TX · On-site
Utilize coding tools such as Optum Encoder and CMS guidelines. * Code with an accuracy of 95% or ... Minimum three years medical coding experience required. * Proficiency with computer systems and ...
Resolves Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical ...
Resolves Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical ...
Resolves Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical ...
Resolves Epic Coding and Optum Claims Manager edits. * Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. * Reviews medical ...
Optum is a clinician-led care organization that is changing the way clinicians work and live. The ... Conducts post service reviews issued for medical necessity and benefits determination coding
Optum is a clinician-led care organization that is changing the way clinicians work and live. The ... Conducts post service reviews issued for medical necessity and benefits determination coding
Senior Coding Educator
Dallas, TX · On-site
$27 - $30.75/hr
Optum Insight is improving the flow of health data and information to create a more connected ... Provides continuing education supporting medical coders to stay updated with evolving regulations ...
Senior Coding Educator
Dallas, TX · On-site
$27 - $30.75/hr
Optum Insight is improving the flow of health data and information to create a more connected ... Provides continuing education supporting medical coders to stay updated with evolving regulations ...
Optum is a clinician-led care organization that is changing the way clinicians work and live. The ... Conducts post service reviews issued for medical necessity and benefits determination coding
Optum is a clinician-led care organization that is changing the way clinicians work and live. The ... Conducts post service reviews issued for medical necessity and benefits determination coding
Senior Coding Educator
Dallas, TX · Remote
$27 - $30.75/hr
Optum Insight is improving the flow of health data and information to create a more connected ... Provides continuing education supporting medical coders to stay updated with evolving regulations ...
Senior Coding Educator
Dallas, TX · Remote
$27 - $30.75/hr
Optum Insight is improving the flow of health data and information to create a more connected ... Provides continuing education supporting medical coders to stay updated with evolving regulations ...
Outpatient Coding Specialist I - (PRN) Remote
Victoria, TX · On-site
$20.75 - $33.50/hr
At the start of each day, review your virtual and coding worklists in Optum to prioritize work. * Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated ...
Outpatient Coding Specialist I - (PRN) Remote
Victoria, TX · On-site
$20.75 - $33.50/hr
At the start of each day, review your virtual and coding worklists in Optum to prioritize work. * Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated ...
Coding & Reimbursement Specialist I - Kelsey Seybold Clinic - Pearland Business Office - Remote
Pearland, TX · On-site +1
$18 - $32/hr
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with ... As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical ...
Coding & Reimbursement Specialist I - Kelsey Seybold Clinic - Pearland Business Office - Remote
Pearland, TX · On-site +1
$18 - $32/hr
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with ... As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical ...
Lead Clinical Nurse Analyst - San Antonio, TX
San Antonio, TX · On-site
$91K - $163K/yr
Lead Clinical Analyst Opportunities at WellMed, part of the Optum family of businesses. Here, you ... Evaluates clinical and medical coding appropriateness of the suspecting engines with the goal of ...
Lead Clinical Nurse Analyst - San Antonio, TX
San Antonio, TX · On-site
$91K - $163K/yr
Lead Clinical Analyst Opportunities at WellMed, part of the Optum family of businesses. Here, you ... Evaluates clinical and medical coding appropriateness of the suspecting engines with the goal of ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · On-site +1
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · On-site +1
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Senior Coder - RCO Coding (Remote)
Galveston, TX · Remote
$21.50 - $28.50/hr
... the medical record. * Utilizes the encoder and/or Optum software to correctly assign all appropriate ICD-10-CM, ICD10-PCS and CPT codes for diagnosis and procedures. * Sequences diagnoses and ...
Optum Medical Coding information
See Texas salary details
$14.33 - $16.25
4% of jobs
$16.25 - $18.16
10% of jobs
$18.16 - $20.07
11% of jobs
$20.12 is the 25th percentile. Wages below this are outliers.
$20.07 - $21.99
22% of jobs
The median wage is $22.51 / hr.
$21.99 - $23.90
12% of jobs
$23.90 - $25.82
11% of jobs
$26.87 is the 75th percentile. Wages above this are outliers.
$25.82 - $27.73
11% of jobs
$27.73 - $29.64
10% of jobs
$29.64 - $31.56
5% of jobs
$31.56 - $33.47
3% of jobs
$33.47 - $35.39
2% of jobs
$14
$24
$35
How much do optum medical coding jobs pay per hour?
What qualifications do I need for Optum?
Which Medical Coder makes the most money?
What is an Optum Medical Coding job?
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, and why are they important?
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.
Are medical coders still in demand?
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.
Is it hard to get a job at Optum?
Per diem
Posted 7 days ago
Citizens Medical Center (Texas) rating
5.6
Based on 21 frontline employees who took The Breakroom Quiz
886th of 1,004 rated hospitals
Job description
JOB SUMMARY
Provide the outpatient coding skills necessary for the coding of all diagnoses and procedures after a thorough review of medical record for optimal reimbursement.
Job Specific:
- Responsible for coding and abstracting outpatient accounts, not to exceed a bill hold status of three (3) days post the date of service/discharge.(EF)
- Maintains productivity standards for assigned work type with a minimum of 95% accuracy(EF)
- Observation = 5/hours
- Emergency Department = 15/hour
- Outpatient Testing = 30/hour
- Ambulatory Surgery = 5/hour
- Inpatient = 2/hour
- Assigns ICD-10-CM/PCS and CPT codes with accuracy, ensuring that all assigned codes have adequate physician documentation.(EF)
- Understands computer systems and possesses the ability to reconcile various accounts, charges, including correcting discharge dates, and requesting billing to link accounts, as necessary.(EF)
- Works independently in coding as a remote employee. Troubleshoots and assists analysis of system issues independently with IT assistance.
- At the start of each day, review your virtual and coding worklists in Optum to prioritize work.
- Reviews medical record for medical diagnosis/procedures ensuring assignment of all diagnosis treated and procedures performed.(EF)
- Analyzes charges for edits and pends account for charge review and/or modifier correction to ensure an accurate claim at the time of billing.
- Utilizes Optum computer-assisted coding and encoder to assign ICD-10-CM/PCS codes, CPT codes, and modifiers and validates the E&M level based on the medical record documentation.(EF)
- Approves the code assignment by sending account to billing.(EF)
- Completes physician and/or provider query for documentation clarification/missing documentation when appropriate.
Hospital:
- Adheres to organization-wide and other applicable policies and procedures.
- Day-to-day performance complies with the hospital's Service Excellence Behavioral Expectations.
- Performs within the prescribed limits of the hospital's Ethics, Compliance and Confidentiality Program guidelines.
- Performs within professional Scope of Practice at all times.
Other Duties As Assigned:
- Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Minimum Requirements
EDUCATIONAL REQUIREMENTS
Required: Successful completion of an approved coding program
Preferred: Associate's degree in health-related field OR possess preferred licensure/certification listed below along with high school diploma.
EXPERIENCE
Preferred: Six (6) months coding experience in an inpatient or outpatient setting.
Special Skills and Abilities
Required: Entry level ICD-10-CM/PCS and CPT coding knowledge.
Preferred: Advanced Outpatient ICD-10-CM/PCS and CPT coding knowledge and scoring a minimum of 80% on pre-employment coding test.
LICENSURE / CERTIFICATION REQUIREMENTS
Required: Certificate of completion of approved coding program
Preferred: AHIMA Certified Coding Associate (CCA) or AAPC Certified Professional Coder (CPC)
COMPANY PROFILE
Citizens Medical Center is a not-for-profit, community hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 317-bed acute care hospital with over 1,200 employees. Voted "Best of the Best" hospital in Victoria for 13 consecutive years, Citizens Medical Center is a level III Trauma Center, with a newly renovated 24/7 Emergency Department that includes an onsite medical helicopter. Citizens has a comprehensive Community Cancer Program that includes two linear accelerators and HDR brachytherapy. Citizens is recognized for its outstanding cardiology program which includes a nationally accredited Chest Pain Center and is a Primary Stroke Center. Citizens also includes a comprehensive, accredited Bariatric Surgery program, Birth Center with labor and delivery, an imaging and surgery center, sleep study center, state-of-the-art rehabilitation and fitness center, urology center and daVinci robotics minimally invasive surgery options, a home health agency, and has a long history of providing continuing education for healthcare providers and the community.
Citizens Medical Center is looking for employees who actively demonstrate service excellence by exemplifying our iCare values. If you are someone who displays respect and enthusiasm for patients, visitors, and coworkers while consistently upholding the hospital's commitment to providing outstanding outcomes, service excellence, and fiscal responsibility, then you could be a good fit for the CMC team!
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