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Optum Medical Coding Jobs (NOW HIRING)

UMR

Prepay Coding Consultant | , |

Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

divvyDOSE

Prepay Coding Consultant

Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

Genoa Telepsychiatry

Prepay Coding Consultant | , |

Medical Coding Specialist Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve ...

UnitedHealth Group

Senior Medical Coder

Eden Prairie, MN · On-site

$24 - $43/hr

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 ...

UnitedHealth Group

Senior Medical Coder

Washington, DC · Remote

$24 - $43/hr

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 ...

UnitedHealth Group

Senior Medical Coder

Eden Prairie, MN · Remote

$24 - $43/hr

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 ...

UnitedHealthcare At Home

Senior Medical Coder

$24 - $43/hr

Senior Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health ...

New England Baptist Hospital

Fulfilling all medical note review requests (OPTUM, BCBS, etc.) * Providing educational materials and coding accuracy to clinicians * Analyzing billing company reports Qualifications / Skills

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Optum Medical Coding information

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How much do optum medical coding jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for optum medical coding in the United States is $26.36, according to ZipRecruiter salary data. Most workers in this role earn between $21.63 and $29.57 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.

More about Optum Medical Coding jobs
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Optum Medical Coding jobs near you
Infographic showing various Optum Medical Coding job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $54,819 per year, or $26.4 per hour.

Clinical Analyst & Coding Specialist - Contract - Columbia, SC

SUNSHINE ENTERPRISE USA LLC

Columbia, SC • Remote

Contractor

Posted 21 days ago

Job description

Clinical Analyst & Coding Specialist Location: Columbia, SC Hybrid (80% remote, onsite for required trainings and meetings). Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract Experience Required: 10+ Years Candidate location: Candidate MUST be a SC resident. No relocation allowed.

Project Scope: Seeking an experienced Business Analyst (Clinical Analyst & Coding Specialist) to support ongoing Medicaid operations and healthcare system initiatives. The consultant will serve as a Subject Matter Expert (SME) for medical coding, Medicaid policy, and business analysis while collaborating with business and technical teams to support coding updates, policy implementation, and business process improvements. Key Responsibilities: Coordinate annual and quarterly ICD-10, CPT, and HCPCS code updates.

Review and analyze coding changes to determine business and operational impacts. Prepare code change documentation for stakeholder review. Collaborate with business users, stakeholders, and technical teams to implement coding and policy updates.

Participate in meetings related to healthcare systems modernization initiatives. Serve as a Subject Matter Expert (SME) for medical coding methodologies and Medicaid-related processes. Research business rules, requirements, and workflows to develop recommendations.

Maintain business rules, process documentation, and requirements repositories. Support process documentation, knowledge transfer, and training activities. Review medical records against established criteria to determine medical necessity when required.

Assist with additional healthcare and project-related initiatives. Required Skills & Experience: 10+ years of experience in healthcare insurance, medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payer environment.

5+ years of medical coding experience in a payer environment. 3+ years of clinical experience in a healthcare environment. Strong knowledge of ICD-10, CPT, and HCPCS coding methodologies.

Strong knowledge of anatomy, physiology, pharmacology, and medical terminology. Experience gathering business requirements and documenting business processes. Excellent analytical, communication, and stakeholder management skills.

Preferred Skills: Experience with healthcare policy remediation. Claims processing systems experience. Microsoft Office Suite proficiency.

Experience with Optum Encoder or other medical coding software. Medicaid and healthcare payer systems experience. Experience supporting healthcare system modernization initiatives.

Education Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN). Certification: Active, unrestricted Registered Nurse (RN) license. Current CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification.

ICD-10 proficiency certification or ability to obtain certification within one year.

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