Senior DRG Coding Leader – Remote

Optum; United States; Remote; USD 73,000 - 130,000; Full time

Job summary

Optum360 is seeking a coding subject matter expert to oversee facility-based and HIM coding operations across multiple sites. The role emphasizes standardizing coding practices, improving quality, and meeting SLAs while managing client relationships and ongoing audits.

The position supports remote work within the United States and requires deep expertise in ICD-10 coding, DRG/inpatient coding, CDI collaboration, and experience with computer-assisted coding tools.

Qualifications

• ICD-10-CM/ICD-10-PCS coding experience or certification.
• 4+ years as a subject matter expert in a corporate coding leadership role supporting large multi-site healthcare organizations with at least 35 coding staff members.
• 4+ years of DRG or inpatient coding experience.
• 4+ years partnering with CDI and Quality leadership to improve reimbursement and coding accuracy.
• 4+ years of experience with computer-assisted coding technologies and EMR coding workflows.
• Proficiency with Microsoft Excel, Word, PowerPoint, and SharePoint.

Responsibilities

• Maintains expert knowledge of coding operations and best practices; drives standardization across facilities.
• Identifies consensus for system and process standardization and metric development.
• Executes integration of coding functions and processes in the facilities served.
• Leverages standard processes to reduce waste while improving SLAs and KPIs.
• Collaboration with HIM, CDI, Client, and Coding Operations to monitor day-to-day coding operations.
• Oversee QA/compliance activities and remediation plans.

Skills

ICD-10 coding

DRG/inpatient coding

CDI collaboration

EMR coding workflows

Microsoft Office

Education

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

Tools

EMR systems

Computer-assisted coding

Excel

SharePoint

Job description

Optum360 is seeking a coding subject matter expert to oversee facility-based and HIM coding operations across multiple sites. The role emphasizes standardizing coding practices, improving quality, and meeting SLAs while managing client relationships and ongoing audits.

The position supports remote work within the United States and requires deep expertise in ICD-10 coding, DRG/inpatient coding, CDI collaboration, and experience with computer-assisted coding tools.