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Remote Optum Medical Coding Jobs in Springfield, IL

Remote Optum Medical Coding information

See Springfield, IL salary details

$17

$21

$23

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

As of Jul 8, 2026, the average hourly pay for remote optum medical coding in Springfield, IL is $21.31, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.64 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 popular job titles related to Remote Optum Medical Coding jobs in Springfield, IL? For Remote Optum Medical Coding jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Optum Medical Coding jobs in Springfield, IL look for? The top searched job categories for Remote Optum Medical Coding jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Optum Medical Coding jobs? Cities near Springfield, IL with the most Remote Optum Medical Coding job openings:
Eligibility Tech Support Analyst (Management Operations Analyst II)

Eligibility Tech Support Analyst (Management Operations Analyst II)

State of Illinois

Springfield, IL • On-site, Remote

$6.8K - $9.8K/mo

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


State Of Illinois rating

7.8

Company rating: 7.8 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

19th of 50 rated states


Job description

Job Requisition ID: 56883 
Opening Date:
06/17/2026
Closing Date:
07/02/2026
Agency:
Department of Healthcare and Family Services

BPIS: 12145
Class Title: 
MANAGEMENT OPERATIONS ANALYST II - 25542 
Skill Option: 
None 
Bilingual Option: 
None
Salary:
Anticipated starting salary (eff 7/1/26) $6820/monthly; Full salary range $6820-$9875/monthly
Job Type:
Salaried
Category: 
Full Time 
County:
Sangamon
Number of Vacancies:
1
Bargaining Unit Code: 
RC062 Technical Employees, AFSCME
Merit Comp Code: 

This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.

All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.

Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.

 

 

Why Work for Illinois?

Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you're helping to improve schools, protect our natural resources, or support families in need, you're part of something bigger-something that touches the lives of every person who calls Illinois home.

No matter what state career you're looking for, we offer jobs that fit your life and your schedule-flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.

Position Overview:

The Department of Healthcare and Family Services, Division of Medical Programs, Bureau of Technical Support is seeking to hire a motivated, results-driven and qualified individual to monitor the Medicaid Eligibility programs for data quality and functionality. We are looking for someone with excellent communication abilities, problem-solving skills, and a collaborative mindset to support our eligibility team efficiently. This position will also conduct analysis and testing to identify system issues and request program logic changes and to make updates to reduce discrepancies between the Integrated Eligibility System (IES), the Medical Medicaid Information System (MMIS) and the Enterprise Data Warehouse (EDW).

The ideal candidate will have extensive hands-on experience in working with Medicaid eligibility systems as well as maintaining accurate documentation. A strong understanding of running reports and testing is essential for success in this role. This role will also spend a lot of time developing and maintaining of Project Initialization Requests (PIR), Project Resolution Requests (PRR), and Change Requests (CR) for their section.

HFS values employees with different backgrounds, life experiences, and talents.

Employees receive a robust benefit package including:

  • Monday-Friday work schedule
  • Flexible work schedules are available in many program areas. (Remote work may be an option for certain positions.)
  • Health, Life, Vision, and Dental Insurance
  • Pension Plan
  • Paid Parental Leave
  • Deferred Compensation Program and other pre-tax benefit programs (Medical/Daycare)
  • Employees earn (12) paid Sick Days annually.
  • New Employees earn (10) paid Vacation Days their first year of service and can earn up to (25) paid Vacation Days annually.
  • Employees earn (3) paid Personal Days annually.
  • (13-14) paid holidays annually (based on start date)

If you are seeking a new opportunity, and this position appeals to you, please apply today!

At the Illinois Department of Healthcare and Family Services (HFS), we value staff as our greatest asset. We work in a spirit of teamwork to help millions of Illinoisans access high quality healthcare and fulfill child support obligations to advance their physical, mental, and financial well-being. We provide healthcare coverage for children and adults through Medicaid and other medical programs, and we help ensure that children receive financial resources from both their parents through Child Support Services. The HFS Office of the Inspector General investigates, audits and reviews program activity to ensure the integrity of our programs is maintained.

HFS is committed to promoting and preserving a workplace culture that embraces diversity, equity, and inclusion.  We welcome and value employees with different backgrounds, life experiences, and talents.  It is the collective sum of our individual differences that provides a broad perspective, leading to greater innovation and achievement.  In recruiting for our team, we recognize the unique contributions of each applicant regardless of culture, ethnicity, race, national origin, sex, gender identity and expression, age, religion, disability, and sexual orientation. HFS is an equal opportunity employer.

Essential Functions
  • Under direction, independently conducts complex duties in the monitoring and analysis of the Medical Eligibility Update Programs
  • Independently conducts complex duties in the monitoring and analysis of the Medicaid Eligibility Programs and policies
  • Reviews analyzes, and updates bulletins, notices, proposed/affected Federal regulations, system design
    documents and procedure manuals
  • Designs and develops specialized computer reports to initiate system procedural changes
  • Confers with agency operating staff and managers
  • Initiates and designs data collection techniques to assist management
  • Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above
Minimum Qualifications
  • Requires knowledge, skill, and mental development equivalent to completion of four (4) years of college, supplemented by a master's degree in business or public administration, with coursework in areas such as economic theory, accounting and finance, organizational theory, and operations research
  • Requires three (3) years of progressively responsible professional experience in management operation analysis
Preferred Qualifications
  • Minimum of two (2) years of experience working with eligibility policy, eligibility procedures and related codes
  • Minimum of two (2) years of experience accessing and manipulating electronic eligibility systems and analytical skills
  • Minimum of two (2) years of experience working with electronic data processing operations and the way they are utilized in operations analysis
  • Minimum of two (2) years of experience working with the application and conduct of management studies
  • Minimum of two (2) years of experience working with the subject matter of the problem area
  • Minimum of two (2) years of experience analyzing and interpreting Medicaid Eligibility policies, regulations and laws
  • Minimum of two (2) years of experience working with relational databases, systems interfaces, data exchanges and file layouts
Conditions of Employment
  • Requires completion of a background check and self-disclosure of criminal history
  • Requires the ability to utilize and maintain state issued equipment such as a laptop
  • The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description

Work Hours: Monday - Friday 8:30 a.m. - 5:00 p.m.
Headquarter Location: 201 S Grand Ave E, Springfield, Illinois, 62704
Work County: Sangamon
Email: HFS.DMPApps@illinois.gov
Posting Group: Leadership & Management

This position DOES NOT contain "Specialized Skills" (as that term is used in CBAs).

APPLICATION INSTRUCTIONS

Use the "Apply" button at the top right or bottom right of this posting to begin the application process.

If you are not already signed in, you will be prompted to do so. 

State employees should sign in to the career portal for State of Illinois employees - a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon. 

Non-State employees should log in on the using the "View Profile" link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon.  If you have never before signed in, you will be prompted to create an account.

If you have questions about how to apply, please see the following resources:

State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid

Non-State employees: on Illinois.jobs2web.com - click "Application Procedures" in the footer of every page of the website.

The main form of communication will be through email. Please check your "junk mail", "spam", or "other" folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:

  • donotreply@SIL-P1.ns2cloud.com
  • systems@SIL-P1.ns2cloud.com

What State Of Illinois employees say

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State of Illinois logo

About State of Illinois

Sourced by ZipRecruiter

The State of Illinois is not a traditional company, but rather a governmental entity encompassing diverse agencies and departments that serve the constituents of Illinois. Based in Illinois, United States, this governmental body communicates with its citizens through the official website illinois.gov. The website is a one-stop resource for Illinois residents to access information about the state's services, including education, healthcare, transportation, and public safety, among others.

Company size

11 - 50 Employees

Headquarters location

Springfield, IL, US

Year founded

2009

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