Prepay Coding Consultant
Plymouth, MA · On-site
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Plymouth, MA · On-site
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Plymouth, MA · On-site
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Plymouth, MA · Remote
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural ...
Boston, MA · On-site
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Boston, MA · On-site
Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills
Chelmsford, MA · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Forward unresolved coding questions to manager for review and comment * Ensure codes are accurate ...
Chelmsford, MA · Remote
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Forward unresolved coding questions to manager for review and comment * Ensure codes are accurate ...
Chelmsford, MA · On-site
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Forward unresolved coding questions to manager for review and comment * Ensure codes are accurate ...
Chelmsford, MA · On-site
$24 - $43/hr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Forward unresolved coding questions to manager for review and comment * Ensure codes are accurate ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Optum is a global organization that delivers care, aided by technology to help millions of people ... Audit entire medical record for accuracy of the coding on the MDS to support payment to the nursing ...
Boston, MA · Remote
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Working knowledge of medical terminology and claim coding * Familiarity with Medicaid program and ...
Boston, MA · Remote
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Working knowledge of medical terminology and claim coding * Familiarity with Medicaid program and ...
Boston, MA · On-site +1
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Working knowledge of medical terminology and claim coding * Familiarity with Medicaid program and ...
Boston, MA · On-site +1
$72K - $130K/yr
Optum is a global organization that delivers care, aided by technology to help millions of people ... Working knowledge of medical terminology and claim coding * Familiarity with Medicaid program and ...
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Westford, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Westford, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Lowell, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Lowell, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Plymouth, MA · Remote
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Experience working with medical terminology and coding * Proven ability to work independently
New
Plymouth, MA · Remote
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Experience working with medical terminology and coding * Proven ability to work independently
New
Plymouth, MA · On-site
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Experience working with medical terminology and coding * Proven ability to work independently
New
Plymouth, MA · On-site
$29 - $52/hr
Optum is a global organization that delivers care, aided by technology, to help millions of people ... Experience working with medical terminology and coding * Proven ability to work independently
New
Needham Heights, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Needham Heights, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Canton, MA · On-site
$41.71 - $62.57/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Canton, MA · On-site
$41.71 - $62.57/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Danvers, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Danvers, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Reading, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Reading, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Westford, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Westford, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Lowell, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
Lowell, MA · On-site
$50.06 - $75.09/hr
As members of the Optum family of businesses, we are dedicated to helping people feel their best ... and medical necessity guidelines, determines primary focus of care, develops the plan of care ...
$16.73 - $18.97
4% of jobs
$18.97 - $21.20
10% of jobs
$21.20 - $23.44
11% of jobs
$23.49 is the 25th percentile. Wages below this are outliers.
$23.44 - $25.67
22% of jobs
The median wage is $26.28 / hr.
$25.67 - $27.91
12% of jobs
$27.91 - $30.14
11% of jobs
$31.37 is the 75th percentile. Wages above this are outliers.
$30.14 - $32.38
11% of jobs
$32.38 - $34.61
10% of jobs
$34.61 - $36.84
5% of jobs
$36.84 - $39.08
3% of jobs
$39.08 - $41.31
2% of jobs
$16
$28
$41
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.
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.
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.

Full-time
Retirement
Posted 26 days ago
7.6
Based on 146 frontline employees who took The Breakroom Quiz
188th of 890 rated healthcare providers
Get the full story on Breakroom
Sourced by ZipRecruiter
Insurance services
10,000+ Employees
Minnetonka, MN, US
1977