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Remote Optum Medical Coding Jobs in California (NOW HIRING)

Adventist Health

Supervisor, Coding (Remote)

Roseville, CA · On-site +1

$38.02 - $52.14/hr

Five years' medical coding experience: Required Licenses/Certifications: * AHIMA Certified Coding Specialist Credential (CCS): Required * Certified Coding Specialist (CCS) or Certified Professional ...

Adventist Health

Supervisor, Coding (Remote)

Roseville, CA · On-site +1

$36.08 - $54.07/hr

Five years' medical coding experience: Required Licenses/Certifications: * AHIMA Certified Coding Specialist Credential (CCS): Required * Certified Coding Specialist (CCS) or Certified Professional ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Analyze coding audit results and other relevant data to develop data-driven educational materials ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Analyze coding audit results and other relevant data to develop data-driven educational materials ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

Humana

Medical Coder

Vacaville, CA · On-site +1

$21.25 - $28.25/hr

Analyze coding audit results and other relevant data to develop data-driven educational materials ... While this is a remote position, occasional travel to Humana's offices for training or meetings may ...

UnitedHealth Group

Medical Coder - RAD-ONC

Walnut Creek, CA · Remote

$20.38 - $36.44/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Generates coding queries for clarification regarding physician documentation as needed * Stays ...

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Remote Optum Medical Coding information

What is remote Optum medical coding?

Remote Optum medical coding involves reviewing clinical documents and assigning standardized codes for diagnoses, procedures, and services, all while working from a location outside a traditional office or hospital setting. Coders use their knowledge of medical terminology and coding systems like ICD-10, CPT, and HCPCS to ensure accurate billing and compliance with regulations. Working remotely for Optum, a healthcare services company, typically requires strong attention to detail, proficiency with coding software, and adherence to privacy standards. This role supports healthcare providers in processing claims and receiving proper reimbursement.

What are some common challenges faced by remote Optum medical coders, and how can these be managed effectively?

Remote Optum medical coders often encounter challenges such as maintaining focus in a home environment, keeping up with frequent coding updates, and effectively communicating with clinical teams virtually. To manage these, it's important to set up a dedicated workspace, stay current with training provided by Optum, and use collaboration tools (like secure messaging or video calls) to clarify documentation or coding questions with colleagues. Regular check-ins with your team and engaging in Optum's professional development opportunities can also help you stay connected and advance your skills.

Will AI eventually replace medical coders?

Remote Optum Medical Coders perform detailed coding tasks that require understanding medical records and applying coding guidelines. While AI tools can assist with coding accuracy and efficiency, human coders are essential for complex cases, quality assurance, and interpreting nuanced medical information. Therefore, AI is expected to augment rather than fully replace medical coders in the foreseeable future.

Does Optum allow remote work?

Remote Optum Medical Coding positions typically offer the option to work from home, depending on the role and department. These jobs often require certification, strong computer skills, and adherence to HIPAA regulations, with flexible schedules common in remote roles.

What are the key skills and qualifications needed to thrive as a Remote Optum Medical Coder, and why are they important?

To thrive as a Remote Optum Medical Coder, you need a solid understanding of medical terminology, ICD-10 and CPT coding systems, and a relevant certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and HIPAA compliance tools is typically required. Keen attention to detail, time management, and strong written communication are essential soft skills for accuracy and collaboration in a remote environment. These competencies ensure precise coding, regulatory compliance, and efficient reimbursement processes, which are critical for healthcare operations.

Is it easy to get a remote job as a medical coder?

Securing a remote medical coding position can be achievable with relevant certifications such as CPC or CCS and experience with coding software. Competition varies, but strong attention to detail and knowledge of medical terminology improve chances of obtaining a remote role in this field.

Is it hard to get a job at Optum?

Securing a remote optum medical coding position can be competitive, often requiring relevant certifications such as CPC or CCS and prior coding experience. Strong attention to detail and familiarity with coding software improve chances, but the hiring process varies based on the role and applicant pool.

What is the difference between Remote Optum Medical Coding vs Remote Medical Billing?

AspectRemote Optum Medical CodingRemote Medical Billing
CertificationsCPMA, CPC, CCSCPB, CPC
Work EnvironmentHealthcare organizations, insurance companies, remoteHealthcare providers, billing companies, remote
Industry UsageWidely used in healthcare and insurance sectorsCommon in healthcare provider billing departments

Remote Optum Medical Coding involves reviewing medical records and assigning appropriate codes for billing and insurance purposes, requiring coding certifications. Remote Medical Billing focuses on submitting claims and following up on payments, often requiring billing-specific certifications. Both roles are remote, industry-specific, and essential for healthcare revenue cycle management, but they differ in daily tasks and certification requirements.

What are the most commonly searched types of Optum Medical Coding jobs in California? The most popular types of Optum Medical Coding jobs in California are:
What are popular job titles related to Remote Optum Medical Coding jobs in California? For Remote Optum Medical Coding jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Optum Medical Coding jobs in California look for? The top searched job categories for Remote Optum Medical Coding jobs in California are:
What cities in California are hiring for Remote Optum Medical Coding jobs? Cities in California with the most Remote Optum Medical Coding job openings:
Remote Optum Medical Coding jobs near you
Medical Coding Leader - Fully Remote | Upto $80/hr

Medical Coding Leader - Fully Remote | Upto $80/hr

Mercor

San Francisco, CA • Remote

$80/hr

Full-time

Posted 3 days ago

Be an early applicant

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Coding Manager / HIM Coding Leader
Type: Contract
Compensation: $80/hour
Location: Remote

Role Responsibilities

  • Oversee professional fee and facility inpatient coding operations to ensure accuracy, productivity, and compliance with coding guidelines.
  • Evaluate AI-generated coding assignments for ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments to ensure accuracy and compliance.
  • Conduct coding quality audits and provide targeted feedback to coding staff and AI systems.
  • Monitor coding KPIs such as coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors.
  • Manage coding workflow queues, work distribution, and ensure turnaround time compliance.
  • Collaborate with CDI, billing, and compliance teams to address coding-related revenue integrity issues.
  • Annotate AI-generated coding outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in medical coding, with at least 2 years in a coding manager or HIM leadership role.
  • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines.
  • Proficiency in professional fee coding and/or facility inpatient coding with DRG assignment experience.
  • Experience conducting coding audits and developing coding quality improvement programs.
  • Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to identify coding errors, compliance risks, and AI output inaccuracies.

Preferred

  • CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIA, or RHIT credential.
  • Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms.
  • Background in inpatient facility coding with DRG optimisation experience.
  • Familiarity with AI coding tools and comfort evaluating AI-generated coding assignments.
  • Experience presenting coding performance data and quality metrics to leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.