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Remote Optum Medical Coding Jobs in Wisconsin (NOW HIRING)

FROEDTERT HEALTH

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 ...

BetterHelp

Psychiatrist - Remote

Milwaukee, WI · Remote

$119 - $242/hr

Compensation for CPT codes can vary based on clinician's license and state of licensure. * Expand ... Active medical license in good standing. * Comfortable prescribing medication when clinically ...

CVS Health Corporation

Medical Director -Spine

WI · Remote

$174K - $374K/yr

This is a remote based (work at home) based anywhere in the US. Aetna, a CVS Health Company, has an ... coding, and reimbursement expertise, using multiple computer based applications. Required ...

UnitedHealth Group

Quality Engineer

Waukesha, WI · Remote

$72K - $93K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Participate in code reviews and contribute to a culture of quality across the engineering team

UnitedHealth Group

Senior Software Engineer

Waukesha, WI · Remote

$122K - $161K/yr

Optum is a global organization that delivers care, aided by technology to help millions of people ... Designs, codes, tests and debugs applications and components that meet all technical specifications ...

Deloitte

Hospital Billing Operator

Milwaukee, WI · Remote

$18 - $23.25/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...

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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 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

Electronic Record Specialist - Remote

Sheboygan County

Plymouth, WI • Remote

$26.02 - $27.84/hr

Other

Posted 28 days ago

Job description

Purpose and Summary We love our residents. It's the number one reason anyone says for why they love working at Rocky Knoll. With a campus nestled on 62 acres and 149 beds in the facility, Rocky Knoll is a beautiful place to work.

Currently, we are seeking a Electronic Medical Record (EMR) Specialist. The EMR Specialist is responsible for the accurate management of electronic health records in a skilled nursing facility setting. This role ensures compliant diagnosis coding, supports Medicare processes, and maintains data integrity across clinical systems.

The position is fully remote and requires prior experience in skilled nursing health information management and proficiency with PointClickCare (PCC). Essential Duties Perform accurate ICD-10-CM diagnosis coding in accordance with regulatory and payer requirements. Conduct MDS diagnosis reviews to ensure consistency and alignment with coding and clinical documentation.

Monitor and track physician visit schedules to ensure compliance with regulatory timelines. Manage and review Medicare certifications and recertifications for accuracy and timeliness. Participate in and contribute to weekly Medicare meetings, providing coding and documentation insight.

Maintain EMR integrity, including adding and managing user access in PCC. Collaborate with interdisciplinary teams to resolve documentation discrepancies. Ensure compliance with federal, state, and facility policies related to health information management.

Support audits and quality assurance initiatives as needed. Performs other varied duties/responsibilities per facility needs. Qualifications Certified coder required (e.g., CCS, CPC, or equivalent)

RHIT preferred. Minimum of 2 years of experience in a skilled nursing facility health information or medical records role. Demonstrated experience with PointClickCare (PCC).

Strong knowledge of ICD-10-CM coding guidelines and Medicare regulations. Experience with MDS processes and documentation standards. High level of accuracy, attention to detail, and organizational skills.

Ability to work independently in a fully remote environment. Strong communication and collaboration skills. Work Environment & Physical Requirements Fully remote position.

Standard business hours with flexibility.

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