Coding Quality Analyst - Remote

This job was posted over 30 days ago, so it has most likely closed. See newer jobs like it.

Written by AI from the job title and company, not by Optum, so some details may not match this job. The employer's own page has the real description.

Job Overview

The Coding Quality Analyst at Optum is responsible for ensuring the accuracy and quality of medical coding performed within the organization. This remote position involves conducting thorough reviews of coding assignments, providing feedback and corrective action recommendations, and collaborating with coding teams to uphold compliance standards. The ideal candidate will play a critical role in optimizing coding processes, enhancing data accuracy, and promoting continuous improvement in coding practices to support high-quality patient care and operational efficiency.

Job Responsibilities

• Conduct detailed coding audits to ascertain the accuracy and compliance of medical coding practices.
• Provide constructive feedback and training to coding staff to improve performance and adherence to coding guidelines.
• Collaborate with team members to address coding discrepancies and implement corrective measures.
• Analyze coding data trends and present findings to management to inform decision-making.
• Develop and update coding policies, procedures, and best practices in alignment with regulatory changes.
• Participate in quality improvement initiatives and contribute to the development of training programs.

Qualifications

• Bachelor's degree in Health Information Management, Nursing, or a related field.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar coding certification required.
• Minimum of 3 years of experience in medical coding and auditing.
• Strong knowledge of coding guidelines, regulations, and medical billing processes.
• Proficient in coding software and Electronic Health Record (EHR) systems.
• Excellent analytical, organizational, and communication skills.
• Ability to work independently in a remote environment while meeting deadlines.

Technologies & Tools

The Coding Quality Analyst will utilize a variety of technologies and tools, including advanced coding software, Electronic Health Record (EHR) systems, data analysis tools, and quality management systems. Familiarity with coding databases and software such as 3M CodeFinder, Optum360, or similar is an asset, as is experience with Microsoft Office Suite for documentation and reporting purposes.

Ideal Candidates

Ideal candidates for the Coding Quality Analyst position possess strong attention to detail, outstanding analytical skills, and a commitment to enhancing the quality of healthcare services. They demonstrate a proactive approach to problem-solving and exhibit excellent communication abilities to effectively train and support their colleagues. A strong sense of ethics and a thorough understanding of compliance standards in the healthcare sector will also be key characteristics of a successful candidate.