Remote Coding Quality Analyst & Compliance Trainer

Optum; Bangor (ME); Remote; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase plan

401k contribution

Job summary

Northern Light Health, in strategic partnership with Optum, offers roles focusing on coding guidance, audits, and education to ensure accurate documentation across multiple specialties.

This telecommuting opportunity supports providers nationwide with annual audits, training, and adherence to coding standards. The position emphasizes collaboration and continuous improvement within a large health system.

Qualifications

• High School Diploma or GED required.
• AHIMA or AAPC coding certification required and maintained annually.
• 3+ years of Physician medical coding experience in a multi-specialty physician clinic.
• 2+ years in Residency Program with surgical coding in E/M and related specialties.
• 2+ years providing expert coding guidance to physicians, practitioners, and coders.
• Intermediate knowledge of MUE and NCCI classification and reimbursement structures.
• Intermediate proficiency in Windows and MS Excel and Epic.

Responsibilities

• Serve as a liaison between coding teams and providers to resolve inquiries.
• Collaborate with Edits and Denials teams to analyze trends and educate staff.
• Partner with clinical leadership when introducing new services to ensure accurate documentation.
• Conduct annual provider audits to validate charges and ensure quality.
• Provide education to providers on code updates and audit findings.

Education

High School Diploma/GED

AHIMA/AAPC coding certification (CPC, CCS-P, RHIA, RHIT)

Tools

MS Excel

Epic

Microsoft Teams

Encoder Pro

Job description

Northern Light Health, in strategic partnership with Optum, offers roles focusing on coding guidance, audits, and education to ensure accurate documentation across multiple specialties.

This telecommuting opportunity supports providers nationwide with annual audits, training, and adherence to coding standards. The position emphasizes collaboration and continuous improvement within a large health system.