Job Title: Coding Quality Analyst
Requisition Number: 2317285
Job Category: Medical & Clinical Operations
Primary Location: Minneapolis, MN, US (Remote considered)
Business Segment: Optum
Employee Status: Regular
Job Level: Individual Contributor
Travel: No
Overtime Status: Non-exempt
Schedule: Full-time
Shift: Day Job
Telecommuter Position: Yes
About Optum
Optum is a global healthcare organization that leverages technology to improve health outcomes for millions. The team connects people with care, pharmacy benefits, data, and resources. Optum promotes a culture of inclusion, provides comprehensive benefits, and offers career development opportunities.
Role Summary
The Coding Quality Analyst ensures accurate coding and coding auditing, translating medical diagnoses, procedures, injuries, or illnesses into designated numerical codes. This role focuses on validating Hierarchical Coding Conditions presented to clients and CMS. Attention to detail and diligence are critical.
Primary Responsibilities
Review medical records to ensure ICD-10-CM codes are correctly applied.
Process attestation sheets and progress notes from proprietary software work queues.
Perform validations in line with departmental goals.
Identify and report coding quality concerns and errors to management.
Perform related duties as assigned.
Required Qualifications
High School Diploma/GED or higher.
Active and unrestricted coding certification (CPC, CCS, RHIT, or RHIA).
1+ years of ICD-10 coding experience.
Intermediate knowledge of HCC coding guidelines.
Proficiency in MS Office (Word, Excel, Outlook).
Preferred Qualifications
Outpatient coding experience.
Experience in physician offices or hospitals.
Familiarity with Natural Language Processing (NLP) technology.
Strong understanding of ICD-10-CM compliance and accuracy requirements.
Key Skills / Soft Skills
Strong attention to detail.
Ability to work in a deadline-driven environment.
Maintain professionalism and a positive service attitude at all times.
Compensation & Benefits
Hourly pay: $23.41–$41.83 (full-time basis).
Comprehensive benefits package including incentives, recognition programs, equity stock purchase, and 401k contributions (eligibility applies).
Compliance & Equal Opportunity
Adherence to UnitedHealth Group Telecommuter Policy for remote work.
Employment consideration regardless of race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status.
Drug-free workplace; candidates must pass a drug test before employment.
Mission & Values
UnitedHealth Group is committed to equitable healthcare, addressing disparities, and improving outcomes while mitigating environmental impact.
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