Clinical Coding Quality & Education Specialist

Sacbar; Bangor (ME); On-site; USD 40,000 - 72,000; Full time

Job summary

Optum is seeking a senior medical coder with multi-specialty experience to guide providers and coders. You will lead audits, deliver training, and collaborate with clinical leaders during new service introductions to ensure compliant documentation and coding accuracy.

The role requires AHIMA/AAPC credentials, 3+ years of physician coding, and strong knowledge of ICD-10, CPT, HCPCS II. Remote options may apply, with a focus on quality and education.

Qualifications

• Professional coder certification (AHIMA and/or AAPC) maintained annually.
• 3+ years of Physician medical coding experience in a multi-specialty clinic.
• 2+ years of Residency Program teaching hospital with surgical coding in E/M and related specialties.
• Ability to provide expert level coding guidance to physicians, practitioners and coders.

Responsibilities

• Serve as liaison between coding teams and providers, delivering expert guidance to resolve inquiries.
• Collaborate with Edits and Denials teams to analyze trends and implement educational initiatives.
• Partner with clinical leadership during new service introductions to ensure documentation accuracy.
• Deliver comprehensive coding training for newly onboarded providers.
• Conduct annual provider audits to validate charges and identify revenue opportunities.
• Educate coders and providers on audit findings and emerging trends.

Skills

CPC

CCS-P

RHIA

RHIT

Education

High School Diploma or GED

Tools

Epic

MS Excel

MS Teams

Encoder Pro

Job description

Optum is seeking a senior medical coder with multi-specialty experience to guide providers and coders. You will lead audits, deliver training, and collaborate with clinical leaders during new service introductions to ensure compliant documentation and coding accuracy.

The role requires AHIMA/AAPC credentials, 3+ years of physician coding, and strong knowledge of ICD-10, CPT, HCPCS II. Remote options may apply, with a focus on quality and education.