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Salaried Optum Health Coding Risk Adjustment Jobs in Nevada

... 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 ...

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 ...

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 ...

Cardiology - Non-Invasive

Las Vegas, NV · On-site

$340K - $384K/yr

... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... Attractive base salary, sign on bonus, and quarterly bonus plan * Comprehensive benefits package ...

Manager of Coding

Reno, NV · On-site

$46.08 - $64.52/hr

... health network that impact the coding processes of inpatient and outpatient hospital operations ... This person assesses and maintains impact of current compliance activities and evaluates risk ...

... health network that impact the coding processes of inpatient and outpatient hospital operations ... This person assesses and maintains impact of current compliance activities and evaluates risk ...

... health network that impact the coding processes of inpatient and outpatient hospital operations ... This person assesses and maintains impact of current compliance activities and evaluates risk ...

Consultative Coding Professional

Carson City, NV · On-site

$18.25 - $24.50/hr

Experience with Optum Encoder or AthenaOne EMR * CRC or CDEO * Comfortable with public speaking Use ... CenterWell is a leading healthcare services business focused on creating integrated and ...

... to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and ... We offer an attractive base salary, sign on bonus, bonus plan, and comprehensive fringe benefits ...

Showing results 41-60

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 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:

Neighborhood Physician - Primary Care (High Acuity) - Optum NV

UnitedHealth Group

Las Vegas, NV

$4.5K/wk

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 19 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

190th of 888 rated healthcare providers


Job description

$100,000.00 Sign on Bonus for external candidates

Optum NV is seeking a Physician to join our team in Las Vegas, NV Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Neighborhood Physician provides primary care for high-acuity Medicare Advantage patients within a dedicated panel, functioning as the primary care provider of record. This role partners with an interdisciplinary team to manage complex, high-utilization patients through a combination of clinic-based and home-based care. Care is delivered in a referral-based model, focused on reducing hospitalizations, improving outcomes, and supporting longitudinal care management.

The physician collaborates with advanced practice clinicians, case management, and social work to address medical and psychosocial needs, while supporting quality initiatives including HEDIS, RAF accuracy, and patient experience.

Primary Responsibilities:
    Manage a panel of complex Medicare patients as the PCP, overseeing all aspects of care. 
    Provide care in clinic and home settings as appropriate, with APC support for field-based visits.
    Collaborate with interdisciplinary team (APCs, RN case managers, social workers) to optimize care plans and transitions. 
    Review and coordinate care for high-risk patients, including post-discharge follow-up and chronic disease management.
    Partner with clinical quality teams to meet HEDIS, RAF, and documentation standards.
    Maintain accurate, timely documentation in the EMR.
    Participate in team meetings and contribute to care model development and workflow optimization.
    Provide clinical guidance and collaboration with APCs (independent practice model; not supervisory except where required).

Highlights:

    Flexible scheduling: 5x8 or 4x10 option; open to reduced FTE.
    Average volume: ~13-18 patients per day depending on schedule, with extended visit times for new patients. 
    Split coverage across two clinic locations 
    No call requirements

We offer an attractive base salary, sign on bonus, bonus plan, and comprehensive fringe benefits package, including medical, dental, and life insurance, STD/LTD, professional liability, matching 401K, relocation costs, 23 days of PTO, one week paid CME with $4500 allowance, and nine paid holidays. Differential for supervision of extenders. 
Top reasons to live in Las Vegas:
    300 days of sunshine, annual average temperature of 70 degrees, beautiful desert flowers and red rock canyons.
    The best of superstar shows, concerts, sporting events, restaurants and shopping available 365 days a year!
    NO STATE INCOME TAX, affordable housing, wonderful recreation available: Red Rock Canyon, Lake Mead, Grand Canyon, Colorado River, Lake Powell, Mt. Charleston (11,000 ft elevation) are all nearby; Las Vegas is situated a short distance from 10 Scenic National Parks; Las Vegas is also a Golfers Paradise with 40 neighborhood and championship courses
What makes an Optum Career different:

    Be part of a best-in-class employee experience that enables you to practice at the top of your license  
    We believe that better care for clinicians equates to better care for patients
    We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations
    Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization
Compensation & Benefits Highlights:
    Med/Den/Vis, STD, LTD, United Health stock options
    Continuing Medical Education allowance with time off
    Professional Liability Insurance 
    Excellent PTO package
    Generous retirement program including employer funded contributions (401K)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
 

Required Qualifications:
    MD or DO, Board Certified/Eligible in Internal Medicine or Family Medicine
    Active Nevada medical license and DEA (or ability to obtain)

Preferred Qualifications:
    Experience managing complex, high-acuity or medically frail populations preferred
    Strong clinical judgment with ability to manage complexity independently
    Team-based care collaboration and communication
    Comfort with value-based care, quality metrics, and documentation accuracy
    Interest in longitudinal care management and population health


Compensation for this specialty generally ranges from $237,500 - $384,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.


OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
 


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