Senior Coding Operations Leader - Remote

Sacbar; Houston, Northern (TX, KY); Hybrid; USD 73,000 - 130,000; Full time

Job summary

Optum Insight’s Optum360 Coding Operations seeks a senior leader to oversee coding services across facilities. The role drives quality, workflow improvements, and audits, ensuring best practices and high performance in prebill reviews, HAC/PSIs, and client engagements.

The role partners with HIM, CDI, and Quality leadership, reports to Optum360 leadership, and requires strong communication with clients while leading initiatives to improve SLAs and KPIs across multiple sites.

Qualifications

• AAPC or AHIMA credential (CCS, CPC, RHIT or RHIA) required.
• 4+ years as SME in corporate coding leadership for large multi-site health systems with 35+ coding staff.
• 4+ years inpatient/outpatient/ambulatory coding experience or as coding reviewer.
• 4+ years partnering with CDI and Quality leadership to improve reimbursement and coding accuracy.
• Proficiency with Microsoft Excel, Word, PowerPoint, and SharePoint.

Responsibilities

• Maintains expert knowledge of coding and coding operations; drives standardization and best practices.
• Leads system-wide standardization, change management, and metrics development in coding operations.
• Monitors day-to-day coding operations and conducts prebill reviews and quality reviews.
• Oversees quality assurance and corrective action plans for coding performance.
• Builds strong client relationships and drives operational excellence within Optum360 coding teams.

Skills

Microsoft Excel

Microsoft Word

PowerPoint

SharePoint

Education

AAPC or AHIMA credential (CCS/CPC/RHIT/RHIA)

Tools

Computer Assisted Coding (CAC)

EMR systems

Job description

Optum Insight’s Optum360 Coding Operations seeks a senior leader to oversee coding services across facilities. The role drives quality, workflow improvements, and audits, ensuring best practices and high performance in prebill reviews, HAC/PSIs, and client engagements.

The role partners with HIM, CDI, and Quality leadership, reports to Optum360 leadership, and requires strong communication with clients while leading initiatives to improve SLAs and KPIs across multiple sites.