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Optum Medical Coding information

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$14

$24

$35

How much do optum medical coding jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for optum medical coding in Texas is $24.55, according to ZipRecruiter salary data. Most workers in this role earn between $20.14 and $27.55 per hour, depending on experience, location, and employer.

What qualifications do I need for Optum?

Optum Medical Coders typically need a high school diploma or equivalent, along with certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Knowledge of medical terminology, coding systems like ICD-10 and CPT, and familiarity with electronic health records are also important qualifications.

Which Medical Coder makes the most money?

Senior medical coders with extensive experience, specialized certifications such as CPC or CCS, and expertise in complex coding areas tend to earn the highest salaries. Those working in outpatient hospital settings or for large healthcare organizations often have higher pay compared to entry-level coders. Advanced skills in coding software and compliance also contribute to increased earning potential.

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?

Medical coders, including those in roles like Optum Medical Coding, are in steady demand due to ongoing healthcare industry needs for accurate billing and record-keeping. The role requires knowledge of coding systems such as ICD-10 and CPT, and certifications can enhance job prospects in a growing field.

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?

Securing a medical coding position at Optum typically requires relevant certifications such as CPC or CCS and attention to detail. The hiring process can be competitive, but candidates with proper credentials and experience in coding and healthcare documentation generally have good prospects.
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Optum Medical Coding jobs near you
Lead Clinical Nurse Analyst - San Antonio, TX

Lead Clinical Nurse Analyst - San Antonio, TX

UnitedHealth Group

San Antonio, TX • On-site

$91K - $163K/yr

Full-time

Retirement

Posted 15 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 145 frontline employees who took The Breakroom Quiz

189th of 877 rated healthcare providers

Job description

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the meaning behind Caring. Connecting. Growing together.
The Lead Clinical Analyst will work within the Suspect Services Team focusing on clinical suspecting, Machine Learning, and clinical actions. This position provides clinical and analytical guidance, performs major role in the development and implementation of business needs and oversees the work of Clinical Analysts.
This position follows a hybrid schedule with four in-office days per week.
Primary Responsibilities:
  • Evaluates clinical and medical coding appropriateness of the suspecting engines with the goal of defining improvement needs and escalation to leadership
  • Evaluates clinical actions/suspecting applications and/or systems and selects from a range of alternatives to determine the appropriate action to be taken
  • Analyzes charts, diagrams, and reporting of the problem to be executed and defines system requirements in terms of business and technical capabilities
  • Develops or assists in the development of work plans, task sequencing, and runs test cases to evaluate the extent of how tasks may be performed concurrently
  • Works in tandem with the team leads to devise appropriate business and technical solutions
  • Performs necessary investigations, analyses, and evaluations to determine project feasibility
  • Performs routine duties independently; discusses or seeks approval on complex matters with the director manager
  • Provides status, leads discussion of change requests, and organizes routine and ad-hoc meetings with Suspecting Governance, Working Group Committee and Clinical Actions leaders
  • Works in concert with IT and other technical teams to perform system migration and system support functions
  • Determine and oversee the needed research, interpretation, and analysis of pertinent healthcare data to identify new business opportunities and drive business decisions. (E.g. LOINCs, ICD-10, CPT, etc.)
  • Lead user acceptance testing, coordinate system changes, and system upgrades
  • Establish relationships with Business and IT Partners to lead team with gathering requirements and to ensure business expectations are met
  • Process and documentation owner of data processes, analytical methodologies and dashboard logic to ensure transparency, reproducibility and team alignment
  • Lead process improvements in team and application processes
  • Perform all other related duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Registered or Licensed Vocational Nurse
  • 4+ years of healthcare experience in one or more of the following areas: Claims Processing/Analysis, Medical Billing, Medical Coding, Nursing, or Clinical Operations.
  • 3+ years of Clinical Analytics experience.
  • 3+ years of process improvement experience.
  • 3+ years of advanced experience using Microsoft office applications, including databases, word-processing.
  • 3+ years of advanced experience using Visio® and Excel
  • Excellent presentation skills with solid communication capabilities and practices, both oral and written.

Preferred Qualifications:
  • Associate or bachelor's degree
  • Certified Professional Coder

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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