Coding Quality Analyst – Remote (USA)
Company: Optum (UnitedHealth Group)
Category: Medical & Clinical Operations
Work Mode: Remote (USA)
Compensation / Salary: $71,200 – $127,200 annually (based on experience and market standards)
Job Summary
Optum is hiring an experienced Coding Quality Analyst to perform quality audits focused on ICD-10 coding, HCC guidelines, and operational compliance. This role involves reviewing medical records, validating coding accuracy, and ensuring adherence to medical coding standards to improve revenue integrity and patient outcomes.
Responsibilities
Conduct detailed reviews of medical records to ensure accurate ICD-10 coding.
Validate coding entries and compare outcomes to diagnoses.
Identify and report quality concerns, errors, and trends for corrective action.
Perform operational audits to ensure compliance with internal coding guidelines.
Document findings and support continuous process improvements.
Participate in virtual training sessions and ongoing skill development.
Perform other related tasks and audits as assigned.
Required Skills & Qualifications
High School Diploma/GED (or higher).
Active, unrestricted AAPC certification (e.g., CPC, CPC-H).
1+ years of certified medical coding experience.
1+ years of ICD-10 coding expertise.
Intermediate knowledge of HCC coding guidelines.
Ability to work standard business hours (8:00 AM – 5:00 PM) with occasional overtime.
Preferred Qualifications
Technical expertise in ICD-10-CM coding standards.
Intermediate proficiency in Microsoft Word, Excel, and Outlook.
Perks & Benefits
Competitive annual salary: $71,200 – $127,200.
4 weeks of paid virtual training.
Comprehensive medical, dental, and vision plans.
401(k) savings plan and equity stock purchase options.
Incentive and recognition programs.
Paid time off, holidays, and career advancement opportunities.
Company Description
Optum, a division of UnitedHealth Group, is a global leader in healthcare technology, medical coding, and clinical operations. With a strong focus on innovation and patient outcomes, Optum combines data-driven solutions and clinical expertise to deliver high-quality healthcare services worldwide.
Work Mode: Remote (USA)
Call-to-Action
If you are a certified medical coder with ICD-10 expertise and a passion for quality audits, apply now to join Optum’s remote healthcare coding team and grow your career.
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