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Salaried Optum Health Coding Risk Adjustment Jobs in Nevada

IPA Consultative Coder

Las Vegas, NV · On-site

$18 - $24/hr

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding ... Associate benefits are designed to encourage personal wellness and smart healthcare decisions for ...

... Coder queues and Optum workflows consistent with requirements of the HIM Leadership and in ... Adherence to Health Information Management (HIM) Coding policies. * Adherence to The Joint ...

IPA Consultative Coder

Las Vegas, NV · On-site

$18 - $24/hr

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding ... Associate benefits are designed to encourage personal wellness and smart healthcare decisions for ...

Coding Lead

Reno, NV · On-site

$32.76 - $45.87/hr

... Coder queues and Optum workflows consistent with requirements of the HIM Leadership and in ... Adherence to Health Information Management (HIM) Coding policies. * Adherence to The Joint ...

... Coder queues and Optum workflows consistent with requirements of the HIM Leadership and in ... Adherence to Health Information Management (HIM) Coding policies. * Adherence to The Joint ...

IPA Consultative Coder

Las Vegas, NV · On-site

$18 - $24/hr

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding ... Associate benefits are designed to encourage personal wellness and smart healthcare decisions for ...

IPA Consultative Coder

North Las Vegas, NV · On-site

$21.75 - $29/hr

Use your skills to make an impact Qualifications 3+ years of risk adjustment medical coding ... Associate benefits are designed to encourage personal wellness and smart healthcare decisions for ...

Qualifications * 3+ years of risk adjustment medical coding experience * CCS, CRC OR CPC ... Associate benefits are designed to encourage personal wellness and smart healthcare decisions for ...

Supervisor of Coding

Reno, NV · On-site

$36.12 - $50.56/hr

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

Supervisor of Coding

Reno, NV · On-site

$36.12 - $50.56/hr

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

... adjustments. Incumbent may also serve as a working coder, assigning ICD-9-CM/ICD-10-CM/PCS and CPT ... The incumbent reviews and analyzes health records to identify relevant diagnoses and procedures for ...

Showing results 21-40

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 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 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 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 the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Nevada? The most popular types of Optum Health Coding Risk Adjustment jobs in Nevada are:
What are popular job titles related to Salaried Optum Health Coding Risk Adjustment jobs in Nevada? For Salaried Optum Health Coding Risk Adjustment jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Salaried Optum Health Coding Risk Adjustment jobs in Nevada look for? The top searched job categories for Salaried Optum Health Coding Risk Adjustment jobs in Nevada are:
What cities in Nevada are hiring for Salaried Optum Health Coding Risk Adjustment jobs? Cities in Nevada with the most Salaried Optum Health Coding Risk Adjustment job openings:

IPA Consultative Coder

CenterWell Primary Care

North Las Vegas, NV • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago


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
Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands.
As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices.
This is a hybrid position that requires occasional travel within the assigned market.
Responsibilities:
You will deliver coding and documentation education to providers and clinic staff within IPA clinics.
You will be a consultative resource and ongoing support for providers in assigned clinics.
You will conduct documentation audits to identify gaps, trends, and opportunities for improvement.
You will perform quarterly chart reviews to support coding accuracy and documentation completeness.
Use your skills to make an impact
Qualifications
3+ years of risk adjustment medical coding experience
CCS, CRC OR CPC Certification
Familiarity in value-based care
Must live within 50 miles of assigned market
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.
$59,300 - $80,900 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.
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.

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