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Remote Optum Medical Coding Jobs in Gilbert, AZ (NOW HIRING)

Oscar Health

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Experience coding in a variety of different Electronic Medical Record (EMR) systems. This is an ...

Addison Group

Hybrid Billing Specialist

Phoenix, AZ · Remote

$18 - $20/hr

Phoenix, AZ (Remote with occasional onsite) Industry: Healthcare/Behavioral Health Pay: $18 - $20 ... This position is eligible for medical, dental, vision, and 401(k). About Our Client: Our client, a ...

UnitedHealth Group

Billing Representative

Phoenix, AZ · Remote

$18 - $32/hr

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within ... Optum Insight is improving the flow of health data and information to create a more connected ...

UnitedHealth Group

Clinical Admin Coordinator

Phoenix, AZ · Remote

$18 - $32/hr

Optum is a global organization that delivers care, aided by technology, to help millions of people ... Medical Plan options along with participation in a Health Spending Account or a Health Saving ...

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Remote Optum Medical Coding information

See Gilbert, AZ salary details

$17

$21

$23

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

As of Aug 20, 2026, the average hourly pay for remote optum medical coding in Gilbert, AZ is $21.43, according to ZipRecruiter salary data. Most workers in this role earn between $17.98 and $22.74 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 the key skills and qualifications needed to thrive as a remote Optum medical coder?

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 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 Gilbert, AZ?

The most popular types of Optum Medical Coding jobs in Gilbert, AZ are:

What are popular job titles related to Remote Optum Medical Coding jobs in Gilbert, AZ?

For Remote Optum Medical Coding jobs in Gilbert, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Optum Medical Coding jobs in Gilbert, AZ look for?

The top searched job categories for Remote Optum Medical Coding jobs in Gilbert, AZ are:

What cities near Gilbert, AZ are hiring for Remote Optum Medical Coding jobs?

Cities near Gilbert, AZ 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 Gilbert, AZ as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $44,581 per year, or $21.4 per hour.

Auditor, Risk Adjustment

Oscar Health

Tempe, AZ • Remote

$82K - $108K/yr

Full-time

Re-posted 22 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

258th of 310 rated insurance

Job description

Hi, we're Oscar. We're hiring a Associate, Risk Adjustment Auditor to join our Risk Adjustment team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Associate, Risk Adjustment Auditor conducts internal and external quality audits. Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and identified clinical documentation improvement opportunities. You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs.

You will report into the Manager, Risk Adjustment.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote

Pay Transparency: The base pay for this role is: $82,717 - $108,566 per year You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Responsible for daily operations pertaining to Risk Adjustment including but not limited to: medical record reviews to report ICD-10-CM diagnosis codes for ACA and MA lines of business, potential Centers of Medicare & Medicaid Services (CMS), Health and Human Services (HHS) audits and medical record retrieval efforts.
  • Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data is supported within provider encounter documentation
  • Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in a timely, consistent and effective manner to ensure the appropriate changes and education are implemented.
  • Maintain compliance with national standards and coding practices set by the ICD-10-CM coding guidelines for accuracy, as well as compliance with Risk adjustment production standards.
  • Conduct CMS audits of Risk Adjustment activities, including but not limited to Risk Adjustment Data Validation audits.
  • Develop relationships with key individuals to foster an increased understanding of the Risk Adjustment process.
  • Identify and execute on the creation of clinical document improvement resources for provider education in both MA and ACA line of business.
  • Manage the implementation process improvements that will maximize risk adjustment factor increases.
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • Bachelor's degree in a relevant field of study or commensurate work experience.
  • Certified professional coder (CPC)
  • 3+ year(s) retrospective risk adjustment coding experience.
  • 1+ year(s) experience Quality Auditing and/or Risk Adjustment Data Validation Audit (RADV) experience

Bonus points:

  • Certified Risk Adjustment Coder (CRC) or similar certification
  • Experience coding in a variety of different Electronic Medical Record (EMR) systems.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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