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Temporary Optum Hcc Coding information

What are the key skills and qualifications needed to thrive as a Temporary Optum HCC Coder, and why are they important?

To thrive as a Temporary Optum HCC Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment methodologies, and medical terminology, typically supported by a coding certification such as CPC, CCS, or CRC. Familiarity with electronic health record (EHR) systems and specialized coding software like Optum360 EncoderPro or similar tools is often required. Attention to detail, analytical thinking, and strong organizational skills are vital soft skills for accuracy and efficiency in coding tasks. These competencies ensure precise coding, regulatory compliance, and optimal reimbursement, which are crucial for both patient care quality and organizational success.

What are some common challenges faced by temporary Optum HCC Coders, and how can they be addressed?

Temporary Optum HCC Coders often face challenges such as quickly adapting to new coding systems, meeting productivity benchmarks within tight deadlines, and ensuring compliance with constantly updated CMS guidelines. To address these, it's important to leverage available training resources, actively communicate with team leads for clarification, and utilize support tools provided by Optum. Staying organized and proactive about updates can also help maintain accuracy and efficiency while coding in a temporary role.

What is a Temporary Optum HCC Coder?

A Temporary Optum HCC Coder is a healthcare professional who is hired on a temporary basis to review and assign Hierarchical Condition Category (HCC) codes to medical records for Optum, a health services company. Their main responsibility is to ensure accurate risk adjustment coding, which impacts reimbursement rates and quality reporting. Temporary coders may work remotely or onsite and are expected to have expertise in ICD-10-CM coding guidelines, HCC coding, and compliance standards. They help healthcare organizations meet regulatory requirements and maximize appropriate reimbursement. The temporary nature of the role means assignments may last from a few weeks to several months, depending on project needs.

What is the difference between Temporary Optum Hcc Coding vs Medical Coder?

AspectTemporary Optum Hcc CodingMedical Coder
CertificationsHCC-specific certifications, coding credentials (e.g., CPC, CCS)Certified Professional Coder (CPC), CCS, or similar
Work EnvironmentHealthcare insurance, risk adjustment, and clinical data analysisHospitals, clinics, physician offices, insurance companies
Industry UsageUsed mainly in health plans, Medicare Advantage, and risk adjustment programsUsed across various healthcare settings for medical billing and coding

Temporary Optum Hcc Coders focus on risk adjustment coding for health plans, requiring specific knowledge of HCC models. Medical Coders have broader roles in medical billing and coding across healthcare providers. Both roles require coding certifications but differ in industry focus and work environment.

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Temporary Optum Hcc Coding jobs near you
Infographic showing various Temporary Optum Hcc Coding job openings in the United States as of May 2026, with employment types broken down into 10% Locum Tenens, 70% Full Time, 10% Part Time, and 10% Nights. Highlights an 94% Physical, and 6% Remote job distribution.
HCC Coding Specialist (Temporary, Full Time)

HCC Coding Specialist (Temporary, Full Time)

Virtix Health LLC

Remote

Full-time

Posted 13 days ago

Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.
Equipment provided along with Encoder software with access to AHA Coding Clinic
This is a remote position
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
  • Full Time (40 hours/week)
  • Flexible hours after quality and productivity goals are met.
  • Remote/Work from home (within the U.S.)
  • Must have a minimum of 1 year of retrospective HCC coding experience plus 1 year of additional coding experience.
  • A valid AAPC or AHIMA coding credential required.
  • Acceptable credentials would be CPC, CRC, COC, RHIT, CCS, or CCS-P. Apprenticeship designations are not accepted.
  • Will be required to maintain a quality score of 95% or higher.
  • Will be required to maintain an ongoing productivity level based on project requirements.
  • Review, analyze, and code patient medical records based on client specific guidelines.
  • Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
  • Follow Risk Adjustment Data Abstraction Rules.
  • Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
  • Must have a phone and reliable internet connection.
  • Team Member must be able to work from home and be independent in their coding skills.
  • Must be proficient in Microsoft programs like Excel and Outlook.
  • Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
  • Outlook: you should be able to manage emails and schedule and attend meetings.
  • Ability to communicate effectively and professionally both verbally and written.
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
  • May be required to perform other duties as assigned by Leadership Team Member.

This is a remote position
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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