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Remote Optum Medical Coding Jobs in New Mexico (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.

What are the key skills and qualifications needed to thrive as a remote Optum medical coder?

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

Medical Coding Supervisor - Must have a NM Residence

UNM Medical Group

Albuquerque, NM โ€ข Remote

$60K - $75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago


Job description

UNM Medical Group, Inc. is hiring for a Medical Coding Supervisor to join our Coding Department. This opportunity is a REMOTE, full-time and day shift opening located in New Mexico.

*This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico*

*This position is remote, however the selected candidate would need to be available to come into the office in Albuquerque, New Mexico if they experience network or laptop issues*

Minimum $60,672 - Midpoint $75,840*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

Summary:

Oversees the daily operations of a medical coding team, ensuring compliance with Federal, State,
and third-party billing regulations. Assists in the planning, organizing, staffing, and daily operations
of the coding area to ensure timely completion of medical record coding reviews, revenue cycle
initiatives, and serves as a subject matter expert on documentation and coding requirements to
ensure optimal reimbursement and compliance with regulatory compliance. Develops and analyzes
reports to monitor and enhance coding accuracy, operational efficiency, and equitable workload
distribution. Identifies, recommends, and implements opportunities for operational improvements
within medical coding processes. This position serves as a collaborative resource to other
departments, providers, leadership and revenue cycle staff on organizational projects and initiatives.

Minimum Job Requirements or a Medical Coding Supervisor:

High School diploma or GED. 3 years of medical coding experience; 1 year experience in a supervisory role. Certification in at least one of the following: CPC, CPC-P, CCS, CCS-P, RHIA, or RHIT. Completed degree from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis. Verification of education and licensure (if applicable) will be required if selected for hire.

Duties and Responsibilities:

1. Supervises the daily operations and performance of the medical coding team; provides
onboarding, work allocation and scheduling, training, monitoring of results, and supports
employee development and engagement; enforces internal procedures and controls, and problem
resolution; evaluates performance issues and facilitates corrective action; motivates employees to
achieve peak productivity.
2. Ensures that medical coding is conducted in compliance with Federal, State, and payer
regulations, guidelines, and requirements.

3. Provides ongoing training and education to staff on new department policies, coding rule changes,
and updated payer requirements; ensures that the coding team is current on coding and billing
compliance for required coding specialties.
4. Monitors key performance indicators (KPIs), generates status reports, and analyzes data to track
individual and team performance and revenue capture effectiveness; improves accuracy,
efficiency, and equitable workload distribution among coding staff.
5. Assists in the development and implementation of coding policies and procedures, in accordance
with Federal and State regulations and UNMMG policies and procedures.
6. Conducts quality reviews and coding audits to identify and resolve coding, process, and billing
issues; collaborates with other teams to prevent and resolve denials.
7. Assists in the planning and implementation of improvement in operations.
8. Works with physicians and relevant departments to provide technical coding and billing education
and communicates medical documentation policies to foster collaboration in training, needs
assessment and action planning for operational improvement.
9. Provides feedback to providers regarding results and findings from billing/coding reviews/audits,
medical records documentation deficiencies, and/or requests clarification of documentation
components.
10. Plans, conducts and supervises billing and coding compliance reviews/audits and reports
significant findings, analyzes, explains and recommends coding edits that are needed as a result.
11. Responsible for analyses as well as resolution of coding edits that occur.
12. Ensures strict confidentiality of medical records and documentation.

Why Join UNM Medical Group, Inc.?

Since our creation in 2007, our dynamic organization has continued to grow and form strong partnerships within the UNM Health system. Modern Healthcare recognizes UNMMG in their Best Places to Work recognition for 2025. We ASPIRE to incorporate the following values into all aspects of our culture and work: we always demonstrate an Attitude of Service with Positivity, Integrity and Respect as we strive for Excellence. We are dedicated to embracing and promoting diversity while fostering well-being across New Mexico through cultural humility and respect for everyone.

Benefits:

  • Competitive Salary & Benefits: UNMMG provides a competitive salary along with a comprehensive benefits package.
  • Insurance Coverage: Includes medical, dental, vision, and life insurance.
  • Additional Perks: Offers tuition reimbursement, generous paid time off, and a 403b retirement plan for eligible employees.