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Remote Optum Medical Coding Jobs in Tennessee (NOW HIRING)

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Coding Consultant

Brentwood, TN · On-site +1

... remote work is offered across all LBMC service lines for qualified candidates. SCOPE OF WORK * Conducts project-based coding and documentation reviews for a wide array of medical specialties to ...

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ... Remain current on medical coding guidelines and reimbursement reporting requirements. Check chart ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ... medical coding purposes. • Remain current on medical coding guidelines and reimbursement ...

Humana

Medical Coder

Brentwood, TN · On-site +1

$17.75 - $23.75/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

Lawrenceburg, TN · On-site +1

$17.50 - $23.50/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

Lenoir City, TN · On-site +1

$16.75 - $22.25/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

Charleston, TN · On-site +1

$15.50 - $20.75/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

Fayetteville, TN · On-site +1

$16.75 - $22.25/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

Cosby, TN · On-site +1

$16.25 - $21.75/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

Hermitage, TN · On-site +1

$16.50 - $22/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

Lebanon, TN · On-site +1

$18 - $24.25/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

Sewanee, TN · On-site +1

$15.75 - $21/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

Bristol, TN · On-site +1

$18.25 - $24.25/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

Smyrna, TN · On-site +1

$17.50 - $23.25/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

Etowah, TN · On-site +1

$15.75 - $21/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

Harriman, TN · On-site +1

$16.75 - $22.50/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

Mc Minnville, TN · On-site +1

$15 - $20/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 ...

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All JobsOptum Medical Coding JobsRemote Optum Medical Coding JobsRemote Optum Medical Coding Jobs in Tennessee

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

Coding Quality Review Specialist

Cooperidge Consulting Firm

Nashville, TN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

Cooperidge Consulting Firm is seeking a Coding Quality Review Specialist for a top healthcare client based in Nashville, TN (remote position).
The CQR Specialist performs internal quality assessments of coding accuracy and compliance across inpatient and outpatient records. This role ensures adherence to national coding standards, HSC policies, and company procedures to maintain optimal data integrity, accurate reimbursement, and compliance with federal regulations.
Job Responsibilities
  • Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs).
  • Audit medical records to ensure coding accuracy, completeness, and compliance with MS-DRG and national standards.
  • Provide feedback, coaching, and documentation support to coders to improve performance and maintain consistency.
  • Participate in special review projects and policy-driven audit initiatives.
  • Maintain productivity and accuracy rates of at least 95%.
  • Keep coding knowledge current by reviewing official data quality standards, coding guidelines, and policy updates.
  • Support adherence to internal and external compliance requirements for data and reimbursement accuracy.

Requirements
Education
  • Associate's or Bachelor's Degree in Health Information Management (HIM) or Health Information Technology (HIT) preferred

Experience
  • Minimum of 10 years of medical coding experience and at least 3 years of inpatient MS-DRG auditing in a hospital setting
  • Prior experience with quality review and coding compliance required

Certifications/Licenses
  • RHIA and/or RHIT certification required
  • IP Coding Auditor certification for MS-DRG required

Skills or Competencies
  • Expert knowledge of medical coding practices and standards
  • Strong analytical and auditing skills
  • Excellent written communication and attention to detail
  • Proficiency with coding systems, data management tools, and remote audit platforms

Benefits
  • Competitive pay with opportunities for overtime and weekend shifts.
  • Comprehensive medical, dental, and vision insurance.
  • Life insurance and disability coverage.
  • 401(k) retirement plan with employer match.
  • Paid time off - vacation, sick leave, and holidays.
  • Continuing education and professional development opportunities.
  • Supportive, team-oriented work environment.

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