Senior Coding Quality Analyst & Education Lead

Sacbar; Eden Prairie, Northern (MN, KY); Hybrid; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Incentive and recognition programs

Job summary

Optum in Eden Prairie, MN seeks a Coding Quality Analyst SME to ensure accurate coding reviews, drive compliance, and educate coding teams. The role involves daily account reconciliations, audit management, and collaboration with clinical staff.

You will lead prebill reviews, support coding quality audits, maintain client guidelines, and participate in ongoing quality meetings. A strong background in HIM, coding accuracy and cross-team communication is required.

Qualifications

• High School Diploma or GED required.
• Certified coder with AHIMA or AAPC credentials (CPC, CCS-P, RHIA, RHIT) maintained annually.
• 4+ years revenue cycle operations experience, coding and HIM support.
• 2+ years acute outpatient coding experience.
• Experience with Microsoft Office.

Responsibilities

• Perform prebill reviews and resolve coding disputes.
• Conduct coding quality audits and coder education.
• Maintain client coding guidelines annually.
• Support meetings and provide SME coverage as needed.

Skills

Acute outpatient coding

Revenue cycle

HIM support

Microsoft Office

Education

High School Diploma/GED

AHIMA/AAPC certification

Tools

EPIC

Meditech

3M Solventum

Job description

Optum in Eden Prairie, MN seeks a Coding Quality Analyst SME to ensure accurate coding reviews, drive compliance, and educate coding teams. The role involves daily account reconciliations, audit management, and collaboration with clinical staff.

You will lead prebill reviews, support coding quality audits, maintain client guidelines, and participate in ongoing quality meetings. A strong background in HIM, coding accuracy and cross-team communication is required.