Senior Coding Operations SME — Remote Quality & Audits

Sacbar; Eden Prairie (MN); Hybrid; USD 73,000 - 130,000; Full time

Benefits offered by this job

Remote work

Job summary

UnitedHealth Group’s Optum360 Coding Operations seeks a Senior Coding SME to oversee facility-based coding departments across regions, driving standardization, quality improvements, and client-facing initiatives. You will lead audits, metrics, and actionable plans to exceed SLAs and KPIs while maintaining strong client relationships.

The role requires expert coding knowledge, leadership across large teams, and collaboration with CDI and quality partners. Remote work within the U.S.

Qualifications

• Current, active coding credential through AAPC or AHIMA.
• 5+ years as a subject matter expert in corporate coding leadership for large multi-site health organizations.
• 5+ years of experience auditing inpatient and/or outpatient accounts.

Responsibilities

• Oversee coding operations and drive standardization of processes.
• Lead quality assurance and compliance activities with action plans.
• Monitor metrics, review prebill coding and quality reviews.
• Coordinate with CDI, quality leadership, and client teams to improve reimbursement and accuracy.
• Foster strong client relationships and cross-functional collaboration.

Skills

Coding leadership

Leadership

Quality improvement

Data analysis (Excel)

Cross-functional collaboration

Communication

Education

AAPC/AHIMA credential

Tools

EMR systems

Microsoft Excel

PowerPoint

Job description

UnitedHealth Group’s Optum360 Coding Operations seeks a Senior Coding SME to oversee facility-based coding departments across regions, driving standardization, quality improvements, and client-facing initiatives. You will lead audits, metrics, and actionable plans to exceed SLAs and KPIs while maintaining strong client relationships.

The role requires expert coding knowledge, leadership across large teams, and collaboration with CDI and quality partners. Remote work within the U.S.