ZipRecruiter

Log In

2

Remote Optum Medical Coding Jobs in Baltimore, MD

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

Job description: Job Overview We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a

next page

Showing results 1-20

All JobsOptum Medical Coding JobsRemote Optum Medical Coding JobsRemote Optum Medical Coding Jobs in Baltimore, MD

Remote Optum Medical Coding information

See Baltimore, MD salary details

$17

$21

$23

How much do remote optum medical coding jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for remote optum medical coding in Baltimore, MD is $21.36, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $22.69 per hour, depending on experience, location, and employer.

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 Baltimore, MD? The most popular types of Optum Medical Coding jobs in Baltimore, MD are:
What are popular job titles related to Remote Optum Medical Coding jobs in Baltimore, MD? For Remote Optum Medical Coding jobs in Baltimore, MD, the most frequently searched job titles are:
What job categories do people searching Remote Optum Medical Coding jobs in Baltimore, MD look for? The top searched job categories for Remote Optum Medical Coding jobs in Baltimore, MD are:
What cities near Baltimore, MD are hiring for Remote Optum Medical Coding jobs? Cities near Baltimore, MD 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 Baltimore, MD as of July 2026, with employment types broken down into 6% As Needed, and 94% Full Time. Highlights an 100% Remote job distribution, with an average salary of $44,439 per year, or $21.4 per hour.
Senior Medical Coding Specialist (Remote)

Senior Medical Coding Specialist (Remote)

CareFirst

Baltimore, MD • Remote

Other

Retirement

Re-posted 5 days ago

CareFirst BlueCross BlueShield rating

7.3

Company rating: 7.3 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

220th of 281 rated insurance

Job description

Resp & Qualifications

PURPOSE: 
The Senior Medical Coding Specialist acts as an internal expert to ensure that value-based reimbursement and medical policy models are developed and implemented to support Payment Integrity. This role provides expert knowledge to support effective partnership with provider entities, guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. This role utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. This role will also provide expertise and mentoring to other team members. This role will sit within the Payment Integrity team. 
ESSENTIAL FUNCTIONS:

  • Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides expertise on various consequences for different financial and incentive models. Strategizes alternatives and solutions to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated payment to articulate inclusions and exclusions in models. 
  • Serves as a technical resource / coding subject matter expert for contract pricing related issues. Conducts complex business and operational analyses to assure payments are in compliance with contract; identifies areas for improvement and clarification for better operational efficiency. Provides problem solving expertise on systems issues if a code is not accepted.  Troubleshoots, make recommendations and answer questions on more complex coding and billing issues whether systemic or one-off. 
  • Develops and refines effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. May interface directly with provider groups during proactive training events or just in time on complex claims matters.  Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers. 
  • Participates in strategy and contributes to thought leadership for quality measure capture (NCQA, HEDIS, STARs). Collaborates with internal stakeholders on process and outcome improvement activities. Ensure compliance with all coding standards. 
  • Facilitates mentorship, providing assistance to less seasoned team members.
  • Actively researches industry trends, keeping up-to-date and maintaining a high level of expertise in coding rules and standards.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.
Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Licenses/Certifications Upon Hire Required:

  • CCS-Certified Coding Specialist or
  • Certified Coder (CCS or CPC)-AHIMA or AAPC

Experience: 5 years' experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience
Preferred Qualifications:

  • Certified public accountant
  • Experience in medical auditing
  • Experience in training/education/presenting to large groups 

Knowledge, Skills and Abilities (KSAs)

  • Knowledge of billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting and claims processing.
  • Experience in revenue cycle management and value-based reimbursement/contracting models and methodologies.
  • Detail-oriented with an ability to manage multiple projects simultaneously.
  • Excellent communication skills both written and verbal.
  • Demonstrated ability to effectively analyze and present data.
  • Ability to create educational materials, training manuals, and/or procedural guides.
  • Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and demonstrated ability to learn/adapt to computer-based tracking and data collection tools, Proficient.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging. 

Salary Range: 67,464 - 133,991

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

What CareFirst BlueCross BlueShield employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply