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

Medical Coding Specialist (remote)

Southwoods Health

Boardman, OH • Remote

Full-time

Posted 5 days ago


Southwoods Health rating

6.3

Company rating: 6.3 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

Medical Coding Specialist
Southwoods Health | Boardman, OH
Status: Full-Time | Setting: Fully Remote or Fully In-Office
Note: Remote employees must live within a commutable distance from Boardman, OH for initial training.
About the Role
Southwoods Health is seeking a skilled and detail-oriented Medical Coding Specialist. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.
Essential Duties
  • Chart Abstraction: Review and abstract evaluation and management (E/M) levels from specialty office or hospital documentation.
  • CPT Coding: Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required.
  • Physician Queries: Coordinate physician queries within the Meditech system, or contact designated hospital representatives for non-Meditech provider locations.
  • Guidelines amp; Specificity: Apply a strong understanding of bundling concepts, CMS guidelines, and HCPCS codes to ensure accurate assignment based on Place of Service (POS). Assign ICD-10 codes to the highest level of specificity.
  • Payer Rules amp; Modifiers: Accurately append modifiers and adhere to distinct guidelines for specific payer groups, including Medicaid HMO and Medicare HMO networks.
  • Quality amp; Performance: Maintain a minimum 95% coding accuracy rate while consistently meeting established productivity standards.
  • Compliance Framework: Ensure all processes at assigned physician practices maintain strict compliance with all regulatory agencies.
  • Collaborative Support: Research coding inquiries independently, collaborate with supervisors, and perform other duties as assigned.
Qualifications
  • Current medical coding certification (CCS, CCA, CPC, RHIT, COC, ACA, or CIC)
  • Responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned
  • At least one year in a healthcare setting, 10 or more years of coding experience will be accepted in lieu of a certificate
  • Good Communication skills
  • Working knowledge of Excel
  • Good Computer Skills
  • Strong ethical and moral character references
Why Southwoods?
At Southwoods, it's not just about the treatment, but how you're treated. Join an expanding, award-winning healthcare network that offers flexible work environments and values your specialized professional expertise. #SWH
Apply today at www.southwoodshealth.com.

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