1

Salaried Optum Health Coding Risk Adjustment Jobs in Kansas

Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities. * Convert complex data ...

New

Company Description Our client is an international Healthcare AI company that specializes in ... In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering ...

PB Coding Coordinator

Topeka, KS · On-site

$31.01 - $48.84/hr

Functionally work within Microsoft Office Suite products & Optum Encoder Pro. * Provides education ... Promotes mission, vision, and values of Intermountain Health, and abides by service behavior ...

PB Coder

Topeka, KS · On-site

$28.06 - $44.20/hr

Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and ... Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). * Meets or exceeds ...

next page

Showing results 1-20

Salaried Optum Health Coding Risk Adjustment information

What is a salaried Optum Health coding risk adjustment specialist?

A Salaried Optum Health Coding Risk Adjustment specialist is a healthcare professional employed by Optum Health who reviews medical records and codes diagnoses to ensure accurate risk adjustment. Their work supports proper reimbursement for Medicare Advantage and other risk-based health plans by identifying and coding chronic conditions and other relevant diagnoses. These specialists use their knowledge of ICD-10-CM coding guidelines and risk adjustment methodologies to improve documentation and compliance. Being salaried means they are full-time employees rather than contractors, which often includes benefits and consistent work schedules. Their efforts help ensure health plans are funded appropriately based on the health status of their members.

What are the key skills and qualifications needed to thrive as a salaried Optum Health coding risk adjustment specialist?

To excel as a Salaried Optum Health Coding Risk Adjustment specialist, you need a thorough understanding of ICD-10 coding, risk adjustment models, and healthcare compliance, typically supported by a coding certification such as CPC or CRC. Familiarity with electronic health record (EHR) systems, coding software, and data analytics tools is essential. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately interpreting clinical documentation and collaborating with healthcare teams. These competencies ensure accurate risk adjustment coding, regulatory compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by professionals in the salaried Optum Health coding risk adjustment role, and how can they be addressed?

One common challenge in the Salaried Optum Health Coding Risk Adjustment role is staying updated with frequent changes in coding guidelines, payer requirements, and risk adjustment models. Additionally, ensuring high accuracy while reviewing complex patient records under tight deadlines can be demanding. To address these challenges, professionals should engage in ongoing education, leverage available training resources provided by Optum, and actively participate in team knowledge-sharing sessions. Collaborating closely with clinical documentation specialists and auditing teams also helps maintain compliance and improve coding quality.

What is the difference between Salaried Optum Health Coding Risk Adjustment vs Medical Coder?

AspectSalaried Optum Health Coding Risk AdjustmentMedical Coder
CertificationsCPH, CCS, or RHIT often preferredCPH, CCS, or RHIT typically required
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, outpatient facilities
Job FocusRisk adjustment coding, reimbursement accuracyClinical documentation, coding for billing
Industry UsageHigh in health insurance and managed careCommon in healthcare facilities

While both roles involve medical coding, Salaried Optum Health Coding Risk Adjustment specialists focus on risk adjustment coding to support insurance reimbursements, often working in managed care environments. Medical Coders typically handle clinical documentation coding for billing purposes in healthcare facilities. The roles share certifications and require strong coding skills but differ in their primary focus and work settings.

What are popular job titles related to Salaried Optum Health Coding Risk Adjustment jobs in Kansas?

For Salaried Optum Health Coding Risk Adjustment jobs in Kansas, the most frequently searched job titles are:

What job categories do people searching Salaried Optum Health Coding Risk Adjustment jobs in Kansas look for?

The top searched job categories for Salaried Optum Health Coding Risk Adjustment jobs in Kansas are:

What cities in Kansas are hiring for Salaried Optum Health Coding Risk Adjustment jobs?

Cities in Kansas with the most Salaried Optum Health Coding Risk Adjustment job openings:

Risk Adjustment Coding Analyst

CenterWell

Topeka, KS • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


CenterWell rating

9.0

Company rating: 9.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz


Job description

Become a part of our caring community

The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support decision-making, performance monitoring, project tracking, and partner communication.

  • You will develop recurring dashboards and reports that support operational oversight, analytics, compliance monitoring, and leadership decision-making.

  • You will analyze operational trends, variances, aging, volumes, activity breakdowns, and performance changes; summarize findings in a clear business narrative with important takeaways and recommended next steps.

  • Prepare executive-ready summaries, presentations, and written analyses that explain the "story behind the data" rather than relying solely on raw reports or pivot tables.

  • Support recurring and ad hoc reporting needs, including dashboard maintenance, pending work analyses, activity tracking, audit reporting, GenAI-related reporting, CDI tracking, query tracking, and other priorities.

  • Partner with leaders and teams to define reporting needs, resolve data issues, and support interpretation of results.

  • Document active deliverables, reporting schedule, data sources, process notes, dependencies, risks, and transition plans to ensure business continuity knowledge transfer.

  • You will manage priorities, meet deadlines, escalate barriers, and make independent decisions regarding work methods within established guidelines.

  • Maintain confidentiality and handle sensitive business, operational, and healthcare-related information observing organizational policies and compliance expectations.

  • Improve reporting processes by identifying opportunities to improve manual work, strengthen data quality, enhance partner usability, and improve the clarity of deliverables.

Use your skills to make an impact

Required Qualifications:

  • Bachelor's degree or equivalent experience in business, analytics, healthcare administration, operations, information management, or a related field.

  • Experience supporting operations, analytics, project coordination, or administrative responsibilities.

  • Proficiency with Microsoft Office Suite with the ability to organize data, create summaries, and support presentation-ready deliverables.

  • Validate data, identify trends, compare time periods, calculate changes, and explain findings in concise language.

  • Produce written summaries including main insights, and recommend next steps for leadership review.

  • Validate calculations, removing duplicates, and confirming assumptions before sharing deliverables.

  • Partner across teams and translate partner requests into applicable reporting or documentation.

  • Maintain confidentiality and handle sensitive operational, employee, provider, member, and business information.

  • Experience improving business processes, partner experience, and operational outcomes through accurate reporting and applicable insights.

Preferred Qualifications:

  • Experience managing dashboards, trackers, scorecards, or recurring performance reports.

  • Experience with Excel-based analysis, Power BI, SharePoint, OneDrive, Teams, or other collaboration and reporting platforms.

  • Experience supporting healthcare operations, risk adjustment, coding operations, audit reporting, CDI tracking, provider education reporting, or similar regulated activities.

  • Convert complex data into executive-ready summaries, visual tables, trend narratives, and partner-facing updates.

  • Experience documenting processes, creating transition plans, maintaining report inventories, and supporting knowledge transfer.

  • Comfort working with latest tools, including AI-assisted summaries or analytics, while validating outputs for accuracy before use.

  • Identify data discrepancies, clarify definitions, align reporting logic, and support interpretation across partners.

#LI-CM1

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$58,700 - $70,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-18-2026

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at?CenterWell.com.

?

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources


What CenterWell employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom