Field-Based Provider Relations & Coding Specialist

Optum; Fairfax (VA); On-site; USD 73,000 - 130,000; Full time

Job summary

Optum is seeking a Healthcare Advocate to support provider relations and risk adjustment programs across a defined territory. You will drive documentation accuracy, coding quality, and program implementation with physicians, hospitals, and IPAs.

Travel approximately 75% within the Fairfax VA region, collaborating with care teams and leveraging AI tools to enhance productivity and quality. Strong MS Office and coding knowledge are required.

Qualifications

• 3+ years of healthcare experience with strong knowledge of medical terminology and clinical issues.

Responsibilities

• Act as a trusted advisor and strategic partner to providers and medical groups, assisting in accurate documentation and coding to reflect members' true health status

Skills

Healthcare experience

EMR systems familiarity

Data analysis & reporting

Communication & stakeholder management

Travel readiness

Education

Certified Professional Coder (CPC/CPC-A) or equivalent

CRC certification

Nursing background (LPN, RN, NP)

Tools

MS Excel

Billing/coding software

Coding software

Job description

Optum is seeking a Healthcare Advocate to support provider relations and risk adjustment programs across a defined territory. You will drive documentation accuracy, coding quality, and program implementation with physicians, hospitals, and IPAs.

Travel approximately 75% within the Fairfax VA region, collaborating with care teams and leveraging AI tools to enhance productivity and quality. Strong MS Office and coding knowledge are required.