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Remote Optum Medical Coding Jobs in Wisconsin (NOW HIRING)

Quartz

Medical Coding Systems Analyst

Madison, WI · Remote

$72K - $90K/yr

Epic healthcare software and/or system knowledge of Optum CES or Claritev ACE claim editing systems ... Strong working knowledge of medical coding, fee, and reimbursement mechanisms * Strong ...

Upland Hills Health

Medical Coding Team Lead

Dodgeville, WI · Remote

$23.25 - $31.75/hr

Medical Coding Team Lead Location: Upland Hills Health - Dodgeville Hospital Campus *Please note ... Following a satisfactory evaluation period, limited remote work flexibility (e.g., one day per week ...

Froedtert

CODING EDUCATOR & AUDITOR

Manitowoc, WI · Remote

$24.05 - $38.48/hr

US:WI:MANITOWOC This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift ... Perform medical coding audits for providers and coding specialists resulting in detailed reports ...

Ascension

Medical Coder

Milwaukee, WI · Remote

$23.03/hr

Remote Department: Revenue Cycle Management Schedule: Full-time | Day Shift Salary Range: $23.03 ... Strictly adhere to official coding guidelines, reimbursement requirements, and the AHIMA Standards ...

Ascension

Medical Coder

Milwaukee, WI · Remote

$23.03 - $31.16/hr

Remote Department: Revenue Cycle Management Schedule: Full-time | Day Shift Salary Range: $23.03 ... Strictly adhere to official coding guidelines, reimbursement requirements, and the AHIMA Standards ...

Advocate Aurora Health

Coder II-Cardiology

Milwaukee, WI · Remote

$26.55 - $39.85/hr

Dual certifications, preferred Remote opportunity: Advocate Health may approve those who wish to ... Completion of an accredited medical coding or HIM program(or equivalentexperience) * High School ...

Bellin

Coding Specialist III

Green Bay, WI · On-site +1

Location: 2020 S Webster Ave, Green Bay, WI 54301 | Remote eligibility | Candidates must reside in ... Associate degree in medical records technology, health information technology, or related degree ...

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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 Wisconsin? The most popular types of Optum Medical Coding jobs in Wisconsin are:
What are popular job titles related to Remote Optum Medical Coding jobs in Wisconsin? For Remote Optum Medical Coding jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Optum Medical Coding jobs in Wisconsin look for? The top searched job categories for Remote Optum Medical Coding jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Optum Medical Coding jobs? Cities in Wisconsin with the most Remote Optum Medical Coding job openings:
Remote Optum Medical Coding jobs near you
Infographic showing various Remote Optum Medical Coding job openings in Wisconsin as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Medical Coding Systems Analyst

Quartz

Madison, WI • Remote

$72K - $90K/yr

Full-time

Posted 6 days ago

Job description

Come Find your Spark at Quartz! Do you have a strong background in medical coding? Are you a problem-solver that enjoys working with coding software? If so, come join Quartz as a Coding Systems Analyst.

The Coding Systems Analyst will be responsible for oversight and maintenance of the code edit systems used by Quartz. This position will research system flags and concepts, vetting resources and guidelines, evaluating edits, testing outcomes, and presenting recommendations regarding system edits to leadership. Within these recommendations, this role will outline financial impacts, compliance with regulatory guidelines, provider contracts, and alignment with the industry. The Coding System Analyst will provide integral input for system updates and enhancements in collaboration with Business Analysts and the vendors.

Benefits:

  • Work with two separate claim edit systems and vendors to help Quartz achieve maximum savings
  • Work cross-collaboratively to help build out new secondary code edit system
  • Be part of the new payment integrity business initiatives and goals
  • Starting salary is based upon skills and experience: $72,500 - $90,600 plus robust benefits package

  • Research official coding guidelines, industry sources, Quartz contracts, to evaluate and test system edits to support coding compliance and payment integrity
  • Presents recommendations, including positive or negative financial savings to multi-disciplinary teams and leadership using analytics and industry research.
  • Collaborates with business analysts to provide input and quarterly system updates and enhancements to systems, as well as be responsible for routine system maintenance.
  • Prepares educational material to present to providers on new edits and financial impact.
  • Monitors, analyzes, and reports trends to leadership and providers, daily, of system performance.
  • Collaborates across multi-disciplinary teams to assure coding and billing compliance.

  • Bachelor's degree with 2+ years of relevant coding experience
    • OR associate degree with 5+ years of relevant coding experience
    • OR high school equivalency with 8+ years of relevant coding experience
  • Completion of medical coding program (obtained certification in CPC, COC, RHIT, RHIA, CCA, and/or CCS)
  • Epic healthcare software and/or system knowledge of Optum CES or Claritev ACE claim editing systems
  • Intermediate level of proficiency with MS Office (Word, Excel, PowerPoint, and Outlook) Ability to decipher complex CMS coding and billing regulations for all types of coding
  • Strong working knowledge of medical coding, fee, and reimbursement mechanisms
  • Strong understanding of medical coding and regulatory guidelines, which may include - CPT, HCPCS, ICD10, OPPS, IPPS, DRGs
  • Strong knowledge of governmental medical payment policies/regulations and their update process (Medicare, Medicaid, DSNP, SSI, etc.)
  • Knowledge of HIPAA regulations
  • Ability to understand and discuss technical software issues with others
  • Strong analytical and problem-solving skills using critical thinking skills
  • Strong verbal and written communication skills
  • Self-motivated, organized, with the ability to work independently to successfully investigate complex issues, and manage multiple tasks simultaneously and complete timely
  • Ability to engage and work in a collaborative team environment

Hardware and equipment will be provided by the company, but candidates must have access to high-speed, non-satellite Internet to successfully work from home.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. To support a safe work environment, all employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified person with disability.

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