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Remote Optum Medical Coding Jobs in Elgin, IL (NOW HIRING)

Medix

PB Coding Quality Auditor

Warrenville, IL · On-site +1

$55.35K - $83.03K/yr

Senior Coding Quality Auditor Remote (Must reside in Illinois, Indiana, or Wisconsin) Direct Hire ... Review medical records, charge information, claim forms, and insurance correspondence to ensure ...

Medix

PB Coding Quality Auditor

Warrenville, IL · On-site +1

$55.35K - $83.03K/yr

Senior Coding Quality Auditor Remote (Must reside in Illinois, Indiana, or Wisconsin) Direct Hire ... Review medical records, charge information, claim forms, and insurance correspondence to ensure ...

Allied Benefit Systems

Be Seen First

Remote Medical Claims Specialist

Chicago, IL · Remote

$48K - $50K/yr

... medical, vision, and dental claims, based upon specific knowledge and application of the client ... Review billed procedure and diagnosis codes on claims for billing irregularities * Review and ...

MBOS

Remote Medical AR Follow-up

Hillside, IL · Remote

$18/hr

Staffed with experts in coding, billing, denial management, CDI, and medical collections, we make ... Medical World Solutions-IL currently has an opening for a Remote A/R Follow Up for a local Hospital.

Solve IT Strategies, Inc.

Inpatient Coder

Chicago, IL · Remote

$22.50 - $27/hr

Description: Remote position. HIM Inpatient Coder - Strong academic, trauma and/or research ... coding • Knowledge of medical terminology and anatomy and physiology required • Windows ...

BetterHelp

Psychiatrist - (Remote)

Chicago, IL · Remote

$128 - $175/hr

Active medical license in Illinois, in good standing. * Comfortable prescribing medication when ... CPT code mix, and utilization of add-on codes (such as 90833) when clinically appropriate and ...

Baba

Physician - Remote (MD/DO) 1099

Chicago, IL · Remote

Perform telehealth-based E/M or Annual Wellness Visits (AWVs) to establish medical necessity for ... Document findings in Baba's platform, ensuring accurate coding and use of SDOH Z-codes, diagnoses ...

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Remote Optum Medical Coding information

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

As of May 28, 2026, the average hourly pay for remote optum medical coding in Elgin, IL is $21.25, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $22.60 per hour, depending on experience, location, and employer.

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 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 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 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 Elgin, IL? The most popular types of Optum Medical Coding jobs in Elgin, IL are:
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What job categories do people searching Remote Optum Medical Coding jobs in Elgin, IL look for? The top searched job categories for Remote Optum Medical Coding jobs in Elgin, IL are:
What cities near Elgin, IL are hiring for Remote Optum Medical Coding jobs? Cities near Elgin, IL with the most Remote Optum Medical Coding job openings:
Remote Optum Medical Coding jobs near you
EMS Medical Coding Specialist

EMS Medical Coding Specialist

Paramedic Services of Illinois

Itasca, IL • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

About Us:
At Paramedic Services of Illinois, we are dedicated to providing compassionate and high-quality emergency medical care to our community. Our company culture is centered around the belief that every individual deserves prompt and professional medical attention delivered with empathy and respect.
 
Position Summary:

The EMS Medical Coding Specialist is responsible for accurate and compliant assignment of diagnosis and procedure codes to emergency medical services encounters, including ground and air ambulance transports. This senior-level position requires expert knowledge of ICD-10-CM, HCPCS Level II coding conventions, and Medicare/Medicaid billing regulations specific to EMS transport services. The specialist ensures optimal reimbursement while maintaining strict adherence to federal and state compliance requirements.

Medical Coding & Documentation:
  • Review and abstract patient care reports (PCRs) to assign accurate ICD-10-CM diagnosis codes and HCPCS transport codes (A0426-A0436).
  • Evaluate medical necessity documentation to support BLS, ALS-1, ALS-2, and specialty care transport (SCT) levels.
  • Apply modifiers (e.g., QL, QM, QN) correctly for Medicare and Medicaid claims.
  • Query EMS providers for incomplete or ambiguous clinical documentation in accordance with AHIMA query guidelines.
  • Maintain coding accuracy rate of 95% or above on internal and external audits
Billing & Claims Management:
  • Submit clean claims to Medicare, Medicaid, and commercial payers following payer-specific guidelines.
  • Review and resolve coding-related claim denials, underpayments, and appeals.
  • Identify and escalate patterns of denial or documentation deficiency to management.
  • Coordinate with billing staff to ensure seamless claims submission and follow-up.
Compliance & Quality Assurance:
  • Ensure coding practices comply with OIG guidelines, HIPAA, and payer-specific policies.
  • Participate in internal audits and respond to external audit requests.
  • Monitor and implement updates related to annual HCPCS/ICD-10 code changes and CMS rulemaking.
  • Maintain current knowledge of Local Coverage Determinations (LCDs) for ambulance services.
Required Qualifications & Skills:
  • Minimum 3-5 years of EMS/ambulance medical coding experience.
  • Active CPC, CCS, or COC credential from AAPC or AHIMA; CPC-P or AMPA EMT-Coder preferred.
  • Expert-level knowledge of ICD-10-CM, HCPCS Level II, and CMS ambulance billing rules.
  • Demonstrated experience with Medicare ambulance billing, including ABN requirements and transport certification statements.
  • Proficiency with EMS billing software (e.g., Zoll Billing, TriTech, ESO, ImageTrend).
  • Strong understanding of federal and state ambulance reimbursement regulations.
  • High school diploma or GED required; Associate's or Bachelor's degree in Health Information Management preferred.
Preferred Qualifications:
  • Certified Ambulance Coder (CAC), Certified Professional Coder (CPC), or other revenue cycle certification.
  • Familiarity with value-based care models and ET3 (Emergency Triage, Treat, and Transport) program billing.
  • Knowledge of state-specific Medicaid managed care ambulance reimbursement policies.
  • Experience with revenue cycle analytics and reporting tools.
Work Environment & Benefits:
  • Employment Type: Full-time, On-site/Hybrid/Remote Options available.
  • Compensation: Competitive hourly pay based on experience.
  • Benefits: Health, dental, vision, 401(k), paid time off, professional development opportunities.
$26 - $32 biweekly
Company Culture:
 
At Paramedic Services of Illinois, our company culture is built on the foundation of compassion, professionalism, and teamwork. For over 50 years, we have been committed to creating a supportive and inclusive work environment where every team member is valued and respected. Our philosophy extends not only to our patients but also to our employees, who play a vital role in fulfilling our mission of providing exceptional emergency medical care to our communities.
 
Join our team at Paramedic Services of Illinois and be part of a company that truly cares about its employees and the communities we serve. 
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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