What is an Optum HCC Coding?

An Optum HCC Coding job involves reviewing medical records to assign accurate Hierarchical Condition Category (HCC) codes, ensuring proper risk adjustment for healthcare providers. Coders analyze patient diagnoses using ICD-10-CM coding guidelines to support reimbursement accuracy and compliance with federal regulations. This role requires knowledge of risk adjustment models, medical terminology, and coding standards to enhance quality care and financial integrity in healthcare organizations.