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Salaried Optum Health Coding Risk Adjustment Jobs

GeBBS Healthcare Solutions

Risk Adjustment Coder

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk ... coding * Coders will confirm or not confirm each diagnosis * Coders will add risk-adjusting ...

Liberty Health

RISK ADJUSTMENT CODER

Wilmington, NC · On-site

$16 - $21.50/hr

There's no place like Liberty Healthcare Management Come explore career opportunities with Liberty ... Develop process for chart review * Assist coding leadership and clinical team by making ...

Liberty Health

RISK ADJUSTMENT CODER

Wilmington, NC · Remote

$16 - $21.50/hr

There's no place like Liberty Healthcare Management Come explore career opportunities with Liberty ... Develop process for chart review * Assist coding leadership and clinical team by making ...

Zing Health Holdings Inc

IL · On-site

$85K - $90K/yr

SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding ... Zing Health offers the following benefits: * A competitive salary based on the market * Medical ...

New

Zing Health

Senior Risk Adjustment Coding Auditor

IL · Remote

$85K - $90K/yr

SUMMARY DESCRIPTION The Senior Risk Adjustment Coding Auditor is a highly experienced coding ... Zing Health offers the following benefits: * A competitive salary based on the market * Medical ...

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All JobsSalaried Optum Health Coding Risk Adjustment Jobs

Salaried Optum Health Coding Risk Adjustment information

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$35K

$60.6K

$90.5K

How much do salaried optum health coding risk adjustment jobs pay per year?

As of Sep 7, 2026, the average yearly pay for salaried optum health coding risk adjustment in the United States is $60,634.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $73,000.00 per year, depending on experience, location, and employer.

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.

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What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs?

The most popular types of Optum Health Coding Risk Adjustment jobs 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 the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $60,634 per year, or $29.2 per hour.

Risk Adjustment Coding Specialist I

Millennium Physician Group

Remote

$22 - $33/hr

Full-time

Posted 7 days ago

Millennium Physician Group rating

6.3

Company rating: 6.3 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

670th of 898 rated healthcare providers

Job description

Job Description Summary
Summary
Reviews medical records and supporting documentation to identify and validate diagnosis information
used in risk adjustment coding. Applies established coding guidelines, payer requirements, and
departmental procedures to routine records and refers documentation gaps or coding questions for
review. Maintains accurate records of completed work and supports the timely capture of documented
patient conditions.
Work is performed under close supervision and follows established processes and procedures. Decisions
are made within defined guidelines and escalated when issues fall outside standard protocols.
How will you make an impact & Requirements
Key Responsibilities
  • Review medical records to identify clinical documentation supporting diagnosis reporting and risk
    adjustment activities.
  • Validate diagnosis codes selected by providers to ensure documentation supports accurate and
    compliant coding.
  • Support prospective and concurrent coding review activities designed to improve diagnosis
    capture and documentation quality.
  • Collaborate with providers and internal stakeholders to obtain clarification regarding
    documentation requirements.
  • Maintain knowledge of ICD-10-CM coding guidelines, Medicare risk adjustment principles, and
    documentation requirements.
  • Participate in coding education, training programs, and quality improvement initiatives.
  • Meet established productivity and quality standards while maintaining coding accuracy.
  • Protect the confidentiality and integrity of patient information in accordance with organizational
    policies and regulatory requirements.

Qualifications
  • High school diploma or GED required
  • Active coding credential through AAPC or AHIMA required; CRC preferred
  • Minimum one year of healthcare, outpatient, coding, or related medical experience preferred
  • Working knowledge of ICD-10-CM coding conventions and medical terminology
  • Foundational understanding of anatomy, physiology, disease processes, and pharmacology
  • Familiarity with Medicare risk adjustment and HCC coding concepts preferred
  • Proficiency using electronic health record systems
  • Strong attention to detail and analytical skills
  • Ability to work within established procedures and prioritize assigned work
  • Commitment to maintaining professional certification and ethical coding standards

Compensation Range:
$22.00
to
$33.00
The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

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