Remote Senior Inpatient Medical Coder – Denials & Edits

Optum; Eden Prairie (MN); On-site; USD 68,770,000 - 123,213,000; Full time

Benefits offered by this job

Remote work within the U.S.

Job summary

Optum is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. This remote role supports inpatient coding, edits, and denial management across U.S. operations, with emphasis on MS-DRG/APR DRG, ICD-10-PCS, and documentation accuracy.

You will query physicians to improve documentation quality and collaborate with the Coding Operations team to ensure compliant coding and billing outcomes.

Qualifications

• Associate's degree required with professional coding credentials on hire.
• 2+ years of inpatient coding experience in acute hospital settings.
• Remote work eligibility and compliance with telecommuter policy.

Responsibilities

• Work acute inpatient claim edits, denials, 3-day rule combinations and related queues.
• Recodes medical records to satisfy claims and denials using coding classifications.
• Analyze records to ensure accurate coding and provide provider feedback to improve documentation.
• Collects and abstracts data elements for billing and audit trails.
• Assist customers with unbilled/incomplete records and identify improvement areas.
• Collaborate cross-departmentally on charging and documentation requirements.
• Other duties as assigned.

Skills

Inpatient coding

Acute care coding

MS-DRG/APR DRG

Coding audits

Query physicians

Education

Associate degree

Tools

EPIC

Job description

Optum is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst. This remote role supports inpatient coding, edits, and denial management across U.S. operations, with emphasis on MS-DRG/APR DRG, ICD-10-PCS, and documentation accuracy.

You will query physicians to improve documentation quality and collaborate with the Coding Operations team to ensure compliant coding and billing outcomes.