Charge Capture - Coding Analyst - Remote

Optum; Kentucky; Remote; USD 73,000 - 130,000; Full time

Job summary

Optum is seeking a Charge Capture - Coding Analyst to ensure accurate coding, charge capture, and revenue integrity for Cardiac Catheterization and Interventional Radiology services. You will collaborate with clinical, coding, and IT teams to implement compliant solutions.

The role emphasizes auditing, education, and process improvement while supporting remote work across the United States. A strong certification background and Epic experience are preferred to drive accurate reimbursement.

Qualifications

• Active coding certification through AAPC or AHIMA within hire date.
• 3+ years of healthcare coding, billing, or revenue cycle experience.
• Experience with Cardiac Catheterization and Interventional Radiology services.
• Proficient with CPT, HCPCS, ICD-10-CM, NCCI edits.
• Experience using Epic for coding review and revenue integrity.

Responsibilities

• Review Cardiac Catheterization, EP, and IR documentation, coding, and charge capture for accuracy and regulatory compliance.
• Perform audits of coding, billing, and charge capture to identify revenue leakage and risks.
• Research and resolve complex coding and reimbursement issues for Cardiac Catheterization and IR services.
• Stay current with CPT, HCPCS, ICD-10-CM, NCCI edits and payer policies; communicate updates to stakeholders.
• Serve as SME for Cardiac Catheterization, EP Lab, and IR coding and revenue integrity.
• Develop and deliver education on coding, documentation, charge capture, and compliance.

Skills

CIRCC certification

Healthcare coding

Analytical thinking

Written and verbal communication

Time management

Independent work

Education

CPC, CCS, RHIT, RHIA or equivalent certification

Tools

Epic

Microsoft Excel

Job description

OptumInsightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,qualityand revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Charge Capture - Coding Analyst supports accurate coding, charge capture, billing compliance, and revenue integrity for Cardiac Catheterization and Interventional Radiology services. The role analyzes clinical documentation, coded data, charging workflows, and reimbursement requirements; identifies operational and compliance opportunities; and partners with clinical, coding, billing, and information technology teams to implement effective solutions.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Primary Responsibilities

• Review Cardiac Catheterization, Electrophysiology (EP), and Interventional Radiology documentation, coding, and charge capture processes to ensure accuracy, completeness, regulatory compliance, and optimal reimbursement
• Perform comprehensive audits and analyses of coding, billing, and charge capture practices to identify revenue leakage, compliance risks, and opportunities for process improvement
• Research and resolve complex coding, documentation, billing, and reimbursement issues related to Cardiac Catheterization and Interventional Radiology services
• Maintain expertise in CPT, HCPCS, ICD-10-CM, NCCI edits, Medicare guidance, and payer-specific policies, and communicate relevant updates to operational and clinical stakeholders
• Serve as a subject matter expert and trusted resource for Cardiac Catheterization, EP Lab, and Interventional Radiology coding, billing, and revenue integrity practices
• Develop and deliver education and training on coding, documentation, charge capture, reimbursement, and compliance requirements
• Partner with physicians, department leaders, facility staff, revenue cycle teams, and operational stakeholders to improve coding accuracy, documentation quality, charge capture, and reimbursement outcomes
• Evaluate new and existing services to ensure appropriate charge capture processes, coding compliance, and alignment with industry and organizational best practices
• Identify system, workflow, and operational improvement opportunities and participate in the development and implementation of solutions that enhance billing accuracy and revenue performance
• Support EHR optimization and implementation initiatives by providing coding, charging, and revenue integrity expertise
• Coordinate and lead revenue integrity initiatives that strengthen compliant revenue capture through reimbursement analysis, workflow optimization, audit findings, and process improvements
• Prioritize and manage multiple projects and assignments while independently investigating and resolving complex issues within the area of expertise
• Demonstrate flexibility and adaptability in supporting evolving departmental, regulatory, and organizational priorities

Organizational Responsibility

• Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization; behavior supports the organization's core commitments of Integrity, Service, Respect, Teamwork, Excellence, and Innovation

Additional Job Information

• This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description. The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty
• Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position
• Training is provided relevant to the population served, based on scope of care of the service assignment
• Owensboro Health is committed to providing a safe working environment including training and access to person protective equipment necessary to this position. While performing duties of this position, occupational exposure to bloodborne pathogens is present for all employees

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as providedevelopment for other roles you may be interested in.

Required Qualifications

• Ability to obtain the Certified Interventional Radiology and Cardiovascular Coder (CIRCC) certification within one year of hire
• Active coding certification through AAPC or AHIMA (e.g., CPC, CCS, RHIT, RHIA, or equivalent)
• 3+ years of healthcare coding, billing, revenue cycle, revenue integrity, compliance, or charge capture experience, including direct experience with Cardiac Catheterization and Interventional Radiology services
• Experience using Epic to support coding review, charge capture, documentation validation, and revenue integrity activities
• Proven solid knowledge of CPT, HCPCS, ICD-10-CM, NCCI edits, modifiers, medical necessity requirements, and documentation standards applicable to Cardiac Catheterization and Interventional Radiology services
• Demonstrated understanding of hospital, clinic, and healthcare facility operations, including revenue cycle and reimbursement processes
• Experience analyzing coding, billing, charge capture, and reimbursement data to identify trends, risks, and improvement opportunities
• Proficiency with Microsoft Excel and other Microsoft Office applications
• Proven solid analytical, critical thinking, root cause analysis, and problem-solving skills
• Proven excellent verbal and written communication skills, with the ability to effectively present findings, recommendations, and educational content to clinical, operational, and leadership audiences.
• Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment

Preferred Qualifications

• Current CIRCC certification
• 3+ years of facility coding experience in a hospital or health system setting
• Experience supporting Revenue Integrity, Charge Capture, Charge Description Master (CDM), or Revenue Cycle initiatives
• Experience with reimbursement analysis, revenue leakage identification, auditing, and charge capture optimization
• Experience participating in EHR implementations, system enhancements, or workflow improvement initiatives
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.