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Remote Optum Medical Coding Jobs in Sumter, SC (NOW HIRING)

BOTG LLC

Medical Coder Reviewer

Columbia, SC · Remote

$15.25 - $20.50/hr

Medical Coder/Reviewer Duration: 12 Months (With possible extension) Location: 100% Remote ... Optum Encoder and/or other medical coding software programs

BayCare Health System

Specialty Coder II (REMOTE)

Columbia, SC · On-site +1

$17.25 - $23.25/hr

Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) * Status ... Required 2 years Coding * And 1 year of Medical Office related experience Equal Opportunity ...

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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 30, 2026, the average hourly pay for remote optum medical coding in Sumter, SC is $19.15, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $20.34 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 popular job titles related to Remote Optum Medical Coding jobs in Sumter, SC? For Remote Optum Medical Coding jobs in Sumter, SC, the most frequently searched job titles are:
What job categories do people searching Remote Optum Medical Coding jobs in Sumter, SC look for? The top searched job categories for Remote Optum Medical Coding jobs in Sumter, SC are:
What cities near Sumter, SC are hiring for Remote Optum Medical Coding jobs? Cities near Sumter, SC with the most Remote Optum Medical Coding job openings:
Remote Optum Medical Coding jobs near you
Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote

Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote

Information Resource Group, Inc.

Columbia, SC • Remote

Other

Posted 10 days ago

Job description

Below are the job details for your reference:

Title:                                    Clinical Analyst & Coding Specialist– W2

Location:                            100% Remote

Duration:                           12+ Months from projected start date   

Hrs./Wk.:                           40

Note: Candidate MUST be a SC resident. No relocation allowed.

 

Scope:

  • This resource will assist with the CPT/HCPCS and ICD-10 code maintenance. An RN is required for the medical coding reviews. However, there is actual NO “coding”, but more review of coding data received, either by CMS or for internal initiatives, research is completed and what we, as an agency, should do, results in the recommendations that are then sent to areas of the agency for review, input and, ultimately, approval.

Required Skills:

  • Must have current, active, and non-restricted licensure by the South Carolina Board of Nursing as a Registered Nurse.
  • 5+ years in healthcare insurance; medical review, program integrity, or appeals.
  • Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)
  • 5+ years working with IT developers/programmers in a payor environment.
  • 5+ years Medical Coding in payer environment
  • 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
  • 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.
  • 5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.

Preferred Skills:

  • 5+ years’ experience in policy remediation.
  • 5+ years claims processing systems experience.
  • 5+ years Optum Encoder and/or other medical coding software programs

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