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Remote Optum Medical Coding Jobs in Florida (NOW HIRING)

Remote - Full Time * WORK SCHEDULE: ABOUT NCH NCH is an independent, locally governed non-profit ... Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and ...

Remote Location: Orlando, FL Title: Physician Coding Auditor Summary: The Physician Coding Auditor ... AHIMA or AAPC credential. • CEMA certification via National Alliance of Medical Auditing ...

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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.

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.

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

Medical Coding Specialist - Orthopedics

North Florida Surgeons, P.A.

Jacksonville, FL • Remote

Full-time

Medical

Posted 19 days ago


Job description

Overview:
North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations.
Key Responsibilities:
  • Review medical records and documentation to assign accurate diagnosis and procedure codes
  • Responsible for coding office visits and surgeries
  • Collaborate between clinical, billing and patient services departments to ensure correct information is obtained for accurate coding and billing
  • Accurately review patient medical records and assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and treatments.
  • Ensure that coded data is correctly submitted for insurance claims, adhering to payer-specific guidelines and medical coding standards.
  • Maintain strict adherence to healthcare regulations, including HIPAA, and ensure the accuracy of coding to minimize claim denials and audit risks.
  • Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in documentation and ensure proper coding.
  • Conduct regular audits to ensure coding accuracy and identify areas for improvement in documentation practices.
  • Stay updated with changes in medical coding guidelines, insurance policies, and healthcare regulations to maintain certification and improve coding practices.
  • Assist the billing team by providing accurate codes for patient billing and insurance submissions.
  • Act as liaison with physician offices, hospitals, and surgery centers regarding documentation for scheduled procedures
  • Assist in resolving coding-related claim denials and rejections
  • Maintain up-to-date knowledge of coding guidelines and payer policies
  • Support audits and compliance initiatives as needed
Qualifications:
  • Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A) or Certified Coding Specialist (CCS) certification required.
  • At least 3 years’ experience in medical coding specialties of General surgery, ENT, ophthalmology, vascular, orthopedics or plastic surgery, with a strong understanding of ICD-10, CPT, and HCPCS coding systems.
  • Familiarity with medical terminology, anatomy, and healthcare procedures.
  • Strong attention to detail, organizational skills, and ability to work under pressure.
  • Excellent communication skills, both written and verbal, to effectively collaborate with healthcare providers.
  • Knowledge of medical billing practices and healthcare insurance policies.
  • Ability to maintain confidentiality and comply with HIPAA regulations.
  • Full Time w/Benefits
  • Hybrid/Remote Position
  • Must reside in the state of Florida
  • Must have Orthopedic Coding Experience (E/M and Surgery) on the Physician/Professional side