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Remote Optum Medical Coding Jobs in Connecticut (NOW HIRING)

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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 Connecticut? The most popular types of Optum Medical Coding jobs in Connecticut are:
What are popular job titles related to Remote Optum Medical Coding jobs in Connecticut? For Remote Optum Medical Coding jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Remote Optum Medical Coding jobs in Connecticut look for? The top searched job categories for Remote Optum Medical Coding jobs in Connecticut are:
What cities in Connecticut are hiring for Remote Optum Medical Coding jobs? Cities in Connecticut with the most Remote Optum Medical Coding job openings:
Remote Optum Medical Coding jobs near you
Medical Coding Specialist

Medical Coding Specialist

Ensemble Health Partners

New London, CT • Remote

$20.45 - $24.70/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Ensemble Health Partners rating

6.5

Company rating: 6.5 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

140th of 148 rated financial services

Job description

CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives

  • Paid Certifications

  • Tuition Reimbursement

  • Comprehensive Benefits

  • Career Advancement

  • This position will pay between $20.45 - $24.70/hr based on experience

​

We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology

The Medical Coding Specialist position reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. Follows Policies and Procedures and maintains required quality and productivity standards.

Job Responsibilities:

  • Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types. The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX.

  • Correctly abstract required data per facility specifications.

  • Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines.

  • Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system.

  • Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards.

  • Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through.

  • Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy

  • Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.

Experience We Love:

  • 1 year of previous of coding experience

  • PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).

  • Excellent organization skills, communication, time management, trouble shooting and problem solving.

  • Ability to multi-task and prioritize needs to meet short- and long-term timelines.

  • Experience with EPIC and previous use of coding software tools.

  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences

  • This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Minimum Education:

  • High School Diploma or GED

Required Certifications:

  • AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS

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