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Salaried Optum Health Coding Risk Adjustment Jobs in Virginia

Intermountain Health

PB Coding Supervisor

Richmond, VA · On-site

$34.26 - $53.96/hr

Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Skills * Medicare ... Intermountain Health is an equal opportunity employer. Qualified applicants will receive ...

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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 Virginia? The most popular types of Optum Health Coding Risk Adjustment jobs in Virginia are:
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What job categories do people searching Salaried Optum Health Coding Risk Adjustment jobs in Virginia look for? The top searched job categories for Salaried Optum Health Coding Risk Adjustment jobs in Virginia are:
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Salaried Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Salaried Optum Health Coding Risk Adjustment job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Revenue Cycle Manager - Medicare Value Based Care, Healthcare Financial Operations

Amazon

Arlington, VA

Full-time

Posted 16 days ago

Amazon rating

7.4

Company rating: 7.4 out of 10

Based on 7,066 frontline employees who took The Breakroom Quiz

6th of 39 rated national retailers

Job description

Are you passionate about transforming healthcare finance through innovation and AI. Amazon is seeking a Revenue Cycle manager to own the strategy and performance of the end-to-end revenue cycle for One Medical's Senior Health line of business. In this role, you'll drive meaningful impact by improving net collections, accelerating free cash flow, and strengthening regulatory compliance under Medicare and Medicare Advantage reimbursement models-all while raising the bar on the member financial experience.
This role is unique because success is defined not by managing transactional volume, but by diving deep to identify root causes of defects, eliminating unnecessary work through upstream fixes and simplification, and deploying AI to scale team impact

You'll work at the intersection of healthcare finance, regulatory compliance, and technology to solve complex challenges that directly improve both business performance and patient outcomes.
Key job responsibilities
- Own the strategy and financial performance of the Senior Health revenue cycle end-to-end, with accountability for net collection rate, aged accounts receivable, bad debt, and free cash flow under Medicare and Medicare Advantage reimbursement models
- Dive deep to identify root causes of claim and payment defects, distinguish symptoms from systemic issues, and prioritize the highest-value defects for resolution by partnering with clinical and revenue cycle teams to implement upstream fixes
- Redesign revenue cycle workflows by challenging every step in existing processes, eliminating work that does not add value, and simplifying processes to be faster, more compliant, and more efficient
- Deploy AI and automation as primary levers to scale operations-using AI to detect defect patterns, surface risk, generate operational insights, and reduce manual effort without adding headcount
- Partner with Compliance, Legal, and Clinical leaders to set and uphold compliance standards for Medicare and Medicare Advantage, including Hierarchical Condition Category (HCC) risk-adjustment coding accuracy and documentation integrity
About the team
The Healthcare FinOps (HFO) team provides centralized revenue cycle management support for Amazon Health Services, owning end-to-end billing and collections operations across our health business lines. We manage the full claims lifecycle-from charge capture and coding through denial management and payment posting-partnering with healthcare technology vendors to build automation, improve first-pass resolution rates, and scale efficiently.
Our team is building the future of healthcare finance by combining deep operational expertise with innovative technology solutions. We foster a culture of continuous improvement, where every team member is empowered to challenge the status quo, simplify complexity, and drive measurable impact for our patients and business.

What Amazon employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Amazon

Sourced by ZipRecruiter

Amazon.com, Inc., commonly known as Amazon, is an American multinational technology company. It was founded by Jeff Bezos in 1994 and initially started as an online marketplace for books. Since then, Amazon has expanded its operations and become one of the largest e-commerce companies in the world. Amazon's primary business is its online retail platform, where customers can purchase a vast array of products, including electronics, clothing, books, home goods, and much more. The company offers a convenient and user-friendly shopping experience, with features such as fast shipping, customer reviews, and personalized recommendations. In addition to its e-commerce platform, Amazon has diversified its business into various other areas. One of its notable ventures is Amazon Web Services (AWS), a comprehensive cloud computing platform that provides services such as storage, compute power, and database management to individuals and businesses. AWS has become a leader in the cloud computing industry, powering many websites and applications worldwide. Amazon has also developed its own consumer electronics, including the popular Amazon Kindle e-reader, Fire tablets, Fire TV streaming devices, and the Alexa-powered Echo smart speakers. The Alexa voice assistant, integrated into these devices, allows users to interact with their devices using voice commands, perform tasks, and access information. Furthermore, Amazon has expanded into media and entertainment. It operates Prime Video, a streaming service that offers a wide range of movies, TV shows, and original content. Amazon Music provides a platform for streaming and purchasing digital music, while Audible offers audiobooks and other audio content. The company's commitment to customer satisfaction and convenience is demonstrated by its membership program, Amazon Prime. Prime members receive various benefits, including free two-day shipping, access to streaming services, exclusive deals, and more.

Industry

It services, book publishers, retail, real estate and computer and electronic product manufacturing

Company size

10,000+ Employees

Headquarters location

Seattle, WA, US

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