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Remote Optum Medical Coding Jobs in Wisconsin (NOW HIRING)

Medical Billing and Coding Associate Location: Kenosha, Wisconsin Hourly Rate: $23.50 - $28.50 per ... population health, remote patient monitoring, and ambulance services. DocGo disrupts the ...

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Utilization Management RN

Madison, WI · On-site +1

$75K - $100K/yr

Strong knowledge of current medical practices, medical coding, trends and patterns of care ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

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INPATIENT CODER

Milwaukee, WI · On-site +1

$25.82 - $44.16/hr

Succeed. #BeHere This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift ... and accurately coding inpatient medical records within a complex academic medical center ...

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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:
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.
Profee Surgical Coding Specialist III - REMOTE

Profee Surgical Coding Specialist III - REMOTE

Children's Wisconsin

West Allis, WI • Remote

Full-time

Re-posted 6 days ago


Children's Wisconsin rating

7.6

Company rating: 7.6 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

252nd of 1,020 rated hospitals


Job description

At Children's Wisconsin, we believe kids deserve the best.

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it's like to work at Children's Wisconsin:https://www.instagram.com/lifeatcw/

The Profee Surgical Coding Specialist III will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture. Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics.

Desired specialty: Pediatric Urology and ENT

  • 100% Remote
  • Full time: Monday-Friday (40 hrs per week)

Experience:

  • 3 years of experience of Profee coding in a healthcare position required
  • Specialty surgical coding knowledge in Pediatric Urology and Pediatric ENT preferred

Knowledge, Skills and Abilities:

  • Knowledge of ICD10, CPT and HCPCS coding guidelines.
  • Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.
  • Prior use of an Electronic Health Record.
  • Epic experience preferred.
  • Excellent communication (oral and written) skills.
  • Ability to work independently, exercise independent judgment and solve problems effectively.

Licenses and Certifications:

Certification: one of the following:

  • CPC-Certified Professional Coder - American Board of Professional Coders
  • CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association
  • CCS-Certified Coding Specialist - American Health Information Management Association
  • RHIT-Registered Health Information Technician - American Health Information Management Association

Essential Functions:

Assigns or verifies CPT, ICD-10 CM coding and modifiers based upon documentation. Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding. Ensures compliance with official coding guidelines.

Education:

High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

+ one of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association

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