Senior Medical Coder – Remote (Epic), CPT/ICD-10 Expert

Optum; Washington (Washington County); On-site; USD 33,062 - 59,236; Full time

Job summary

Optum is seeking a Senior Medical Coder to perform concurrent review of FFS coding rules within Epic, ensuring CPT and E/M codes are accurately coded for maximum reimbursement and minimal denials.

The position operates Monday–Friday, 8 AM–5 PM with a remote nationwide work model, offering collaboration across teams and opportunities to contribute to coding quality initiatives and improved health outcomes.

Qualifications

• High School Diploma or GED required.
• AAPC or AHIMA coding certification (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P, etc.).
• 3+ years of coding experience.
• Advanced knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding guidelines.
• Advanced knowledge of medical terminology, disease processes, and anatomy & physiology.

Responsibilities

• Assign appropriate medical codes using ICD-10-CM, CPT, and HCPCS.
• Interpret clinical documentation with anatomy and physiology knowledge to identify codes.
• Identify unclear documentation and generate queries for additional information.
• Follow up with providers when responses to queries are delayed.
• Use coding software and references to determine codes.
• Apply post-query responses to finalize determinations.
• Comply with Medical Coding guidelines and revenue cycle impact.
• Support coding quality audits and educate others to improve performance.
• Manage multiple charts to meet productivity and turnaround targets.
• Resolve coding edits or denials related to code assignments.

Skills

Coding experience

Medical terminology

Anatomy & physiology

Education

High School Diploma/GED

AAPC/AHIMA certification

Job description

Optum is seeking a Senior Medical Coder to perform concurrent review of FFS coding rules within Epic, ensuring CPT and E/M codes are accurately coded for maximum reimbursement and minimal denials.

The position operates Monday–Friday, 8 AM–5 PM with a remote nationwide work model, offering collaboration across teams and opportunities to contribute to coding quality initiatives and improved health outcomes.