Sr. Clinical Practice Consultant (MD or APC) – Remote USA
Company: Optum (UnitedHealth Group)
Primary Location: Eden Prairie, MN (Remote across the U.S.)
Employment Type: Full-time
Compensation / Salary: $106,800 – $194,200 annually (based on experience)
Work Mode: Remote (U.S.)
Job Summary
Optum is hiring a Senior Clinical Practice Consultant (MD, DO, NP, or PA) to lead clinical documentation reviews and ensure excellence across Optum Health. This role focuses on Medicare Advantage risk adjustment, ICD-10-CM coding accuracy, and chronic disease management documentation. The consultant will collaborate with clinicians, operations, and coding experts, while mentoring team members and shaping clinical quality programs.
Key Responsibilities
Act as a subject matter expert for clinical documentation review processes.
Conduct multi-level clinical chart reviews applying evidence-based medical criteria.
Mentor team members, providing 1:1 coaching and leadership on review projects.
Partner with medical directors and business analysts to compile and present review outcomes.
Develop and update clinical reference guides, training materials, and education sessions.
Collaborate with coding leaders and national education teams to ensure alignment.
Lead team education, orientation, and competency assessments.
Assist in designing audit tools and clinical platforms to improve documentation quality.
Required Skills & Qualifications
Active unrestricted license (MD, DO, NP, or PA) and board certification in a clinical field.
Certification in AAPC/AHIMA coding or healthcare compliance is preferred.
5+ years of clinical practice experience.
3+ years of experience with Medicare Advantage programs and CMS risk adjustment.
2+ years in clinical documentation review or quality program roles.
Proven expertise in ICD-10-CM coding and chronic disease management.
Proficiency with EPIC, eClinical Works, Touchworks, and AI scribing solutions.
Strong analytical, training, and presentation skills.
Advanced knowledge of MS Office tools (Excel, PowerPoint, Teams, Word).
Ability to review up to 50 medical records/day and travel 2–3 times annually for on-site meetings.
Perks & Benefits
Competitive salary range of $106,800 – $194,200 (experience-based).
Comprehensive benefits package (medical, dental, vision).
Incentive and recognition programs.
Equity stock purchase and 401(k) contributions.
Career advancement and leadership development opportunities.
Company Description
Optum, a division of UnitedHealth Group, is a global leader in technology-enabled health services. We are committed to advancing clinical excellence, healthcare documentation quality, and patient outcomes through innovation and collaboration across diverse healthcare ecosystems.
Work Mode: Remote (U.S.)
Call-to-Action
If you are a licensed MD, DO, NP, or PA with coding expertise and experience in clinical documentation review, apply now to join Optum and drive healthcare quality improvement nationwide.
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