Senior Coding Quality Analyst – National Remote

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

Performs Quality Audits focused on medical coding principles and guidelines, as well as operational performance and processes as needed. Extract precise information from documentation, test results, and reports to audit and ensure appropriate codes were assigned. Audit and test ongoing operational processes to assure continued compliance with all requirements regarding coding procedures, practices and internal processing guidelines.

This position is full-time, Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm, with flexibility during peak season training. It may be necessary, given the business need, to work occasional overtime.

We offer 6 weeks of paid training during normal business hours.

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

 

Primary Responsibilities:

• Provides coding guidance on production charts to coders/auditors following CMS guidelines and ICD-10 coding guidelines.
• Provides coaching monthly for sub95% coders and auditors through small group sessions and individual coaching depending on the level of errors. 
• Assist in creation of bi-weekly CMA or learning sessions dependent upon the client. 
• Provides coaching support for any training event.
• One coach assigned to each new hire class. Coach may be responsible for leading reviews weeks
• One or two coaches assigned for client training events that are not New Hire 
• Conducts training/review sessions when the Trainer is absent.
• Attends monthly Trainer / Coach collaboration events dependent upon program.
• Assists with client audits as needed. 
• Assists with review of training material, CEUs, and any other new resources.
• Assists with identifying trends seen with production questions by sharing concerns with the dedicated trainer. 
• Adheres to guidelines and quality (completeness and accuracy)
• Identifies trends in coding and issues in documentation that affect coding accuracy
• Provides input and valuable feedback on audit results
• Recommends process improvement
• Perform all other related duties as assigned

 

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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
• Coding certification (CPC, COC, CIC, CCA, CRC, CCS, RHIT OR RHIA) 
• Must be 18 years of age OR older 
• 2+ years ICD-10 coding experience  
• Knowledge in HCC coding guidelines
• Technical expertise in ICD-10-CM
• Intermediate Microsoft Office: Microsoft Word, Microsoft Excel and Microsoft Outlook
• Ability to work during our normal business hours of 8:00 am – 5:00 pm, with flexibility during peak season training from Monday – Friday

 

Preferred Qualifications:

• Outpatient Coding experience
• Physician’s office / hospital experience 

 

Telecommuting Requirements: 

• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy 
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service 

 

Soft Skills:

• Attention to detail
• Above average communication skills
• Able to break down concepts and educate other coders on them

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy