Senior Coding Operations Lead — Remote

Optum; Houston (TX); On-site; USD 73,000 - 130,000; Full time

Job summary

Optum Insight is seeking a senior leader to oversee Optum360 coding services across facility-based operations, driving quality, standardization, and audits to meet SLA commitments. You will guide day-to-day coding, prebill reviews, and QA initiatives while managing client relationships with CDI, HIM, and other stakeholders.

The role requires 4+ years in coding leadership, Inpatient/Outpatient/Ambulatory coding experience, and a strong background in computer-assisted coding and EMR workflows.

Qualifications

• AAPC or AHIMA credential required.
• 4+ years in a corporate coding leadership role for large multi-site healthcare organizations with 35+ staff.
• 4+ years of inpatient, outpatient, or ambulatory coding and/or coding reviewer role.
• Experience collaborating with CDI and Quality leadership to improve reimbursement and accuracy.
• Experience with computer assisted coding technologies and EMR workflows.
• Proficiency with Microsoft Excel, Word, PowerPoint, and SharePoint.

Responsibilities

• Maintains expert knowledge of coding and coding operations across facilities.
• Drives standardization of processes to reduce waste and improve SLAs and KPIs.
• Oversees day-to-day coding operations and prebill coding reviews.
• Leads quality assurance, remediation, and training initiatives.
• Fosters strong client relationships and cross-functional collaboration.

Skills

Coding leadership

CDI collaboration

Inpatient/outpatient coding

Computer assisted coding

MS Office

Tools

EMR systems

Job description

Optum Insight is seeking a senior leader to oversee Optum360 coding services across facility-based operations, driving quality, standardization, and audits to meet SLA commitments. You will guide day-to-day coding, prebill reviews, and QA initiatives while managing client relationships with CDI, HIM, and other stakeholders.

The role requires 4+ years in coding leadership, Inpatient/Outpatient/Ambulatory coding experience, and a strong background in computer-assisted coding and EMR workflows.