Remote Coding Quality Analyst

Optum; Plymouth (MN); Remote; USD 33,000 - 59,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan

Dental Insurance

401(k) Savings Plan

Education Reimbursement

Employee Discounts

Employee Assistance Program

Job summary

Optum is hiring a Coding Quality Analyst in Minnesota to research and interpret healthcare coding per CMS and payer policies. The role involves coding reviews, documentation, and guidance to the investigation team, with emphasis on facility and physician coding and compliance.

This full-time position offers telecommuting from anywhere in the U.S. during 6:00am–6:00pm shifts, with occasional overtime as needed. Strong coding credentials and 3+ years of experience are required.

Qualifications

• High School Diploma or GED.
• Must have one or more coding credentials: RHIA, RHIT, CCS-P, CCS, CPC, or COC.
• 3+ years of medical coding experience in facility and physician coding.
• 3+ years of reviewing, analyzing, and researching coding issues.
• Proficiency in Outlook, Excel, and Word.

Responsibilities

• Conduct coding reviews of medical records and supporting documentation against claims to determine coding accuracy.
• Process and/or review claims using client-specific coding and billing requirements to meet production and quality goals.
• Participate in process improvement activities and promote ownership of improvements.
• Analyze medical documents to evaluate potential fraud and abuse.
• Document coding review findings in the case tracking system with thorough records.
• Serve as a coding resource and provide guidance to the investigation team.

Skills

Medical coding

Detail-oriented

Remote work readiness

Education

High School Diploma/GED

Associate degree or higher in Health Information Management

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Word

Job description

Optum is hiring a Coding Quality Analyst in Minnesota to research and interpret healthcare coding per CMS and payer policies. The role involves coding reviews, documentation, and guidance to the investigation team, with emphasis on facility and physician coding and compliance.

This full-time position offers telecommuting from anywhere in the U.S. during 6:00am–6:00pm shifts, with occasional overtime as needed. Strong coding credentials and 3+ years of experience are required.