Senior Coding Quality Analyst

Requisition number: 2395955

Job category: Medical & Clinical Operations

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Serve as a flexible resource to be dispatched to coding teams experiencing high volumes or staffing shortages

• Perform accurate and timely coding of inpatient, outpatient, and/or professional services as needed

• Collaborate with team leads to identify and resolve workflow bottlenecks

• Facilitate onboarding of new coders, including system access, training schedules, and documentation review

• Provide mentorship and hands-on training to ensure coding accuracy and compliance with organizational standards

• Develop and maintain onboarding materials and best practice guides

• Lead the coding integration process during M&A activities, including system alignment and coder transition/staffing requirements

• Act as a liaison between acquired entities and internal departments to ensure a smooth transition

• Work cross-functionally with Production Coding and Revenue Cycle teams

• Provide regular updates to leadership on project status and integration progress

• Stay current with industry changes, payer updates, and coding guidelines through continuing education and professional development

• Attain and/or maintain relevant professional certifications and continuing education seminars as required

• Utilize and navigate across clinical software applications to assign medical codes or complete reviews

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or equivalent)

• Coding Certification from AAPC or AHIMA professional coding association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.)

• 3+ years of multi-specialty coding experience

• 2+ years knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines

• 1+ years of M&A integration experience

• 1+ years of experience in multiple EHR systems (i.e. EPIC, Cerner, Allscripts, Athena)

• 1+ years of Revenue Cycle experience

• Knowledge of medical terminology, disease process and anatomy and physiology

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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