Remote DRG Coding Analyst and Quality Leader

Taleo; Houston (TX); Remote; USD 73,000 - 130,000; Full time

Job summary

UnitedHealth Group's Optum360 is seeking a DRG Coding Analyst to oversee coding operations across facilities, drive standardization, ensure audit readiness, and maintain client relationships while delivering high quality HIM services.

This remote role supports multiple sites in the U.S., collaborates with CDI, Quality, and HIM leaders, and reports to Optum360 Coding Operations, with a compensation range of $72,800 to $130,000.

Qualifications

• ICD-10-CM and ICD-10-PCS coding experience and/or certification.
• 4+ years as a subject matter expert in a corporate coding leadership role supporting large multi-site healthcare organizations with 35+ coding staff.
• 4+ years of recent DRG or inpatient coding experience.
• 4+ years partnering with CDI and Quality leadership to improve reimbursement and coding accuracy.
• 4+ years of experience with computer-assisted coding technologies and EMR coding workflows.
• Proficiency with Microsoft Excel, Word, PowerPoint, and SharePoint.

Responsibilities

• Maintains expert knowledge of coding and coding operations; drives standardization and best practices within client environments.
• Leads system/process standardization, change management, metric development and communication across coding teams.
• Oversees integration of coding functions into facilities served and monitors SLA delivery.
• Collaborates with HIM, CDI, Client, and Coding Operations to monitor day-to-day coding operations and prebill reviews.
• Supports quality assurance/compliance activities and corrective action plans based on audit results.
• Represents Optum360 in client meetings and maintains strong client relationships.

Skills

ICD-10-CM/ICD-10-PCS

Coding leadership

DRG/Inpatient coding

CDI collaboration

CAC/EMR workflows

MS Office (Excel, Word, PowerPoint)

Tools

Excel

Word

PowerPoint

SharePoint

Job description

UnitedHealth Group's Optum360 is seeking a DRG Coding Analyst to oversee coding operations across facilities, drive standardization, ensure audit readiness, and maintain client relationships while delivering high quality HIM services.

This remote role supports multiple sites in the U.S., collaborates with CDI, Quality, and HIM leaders, and reports to Optum360 Coding Operations, with a compensation range of $72,800 to $130,000.