Optum is seeking a Coding Quality Analyst to conduct reviews of records identified as suspicious and/or potentially fraudulent. This role supports coding quality and billing integrity by evaluating documentation against current coding and classification guidelines, documenting review outcomes, and communicating findings to internal and external stakeholders.
The position is full-time, Monday through Friday, with flexible 8-hour shifts during normal business hours of 8:00 a.m. to 5:00 p.m. CST. Four weeks of on-the-job training are provided, and the role offers telecommuting anywhere within the U.S.
Requirements & Qualifications
Required Qualifications
- High School Diploma or GED
- Active and unrestricted coding certification from AHIMA (CCS, CCS-P, or RHIT) or AAPC (CPC)
- 2+ years of coding experience in CPT medical coding
- 2+ years of medical record auditing experience
- Ability to work full-time, 40 hours per week, Monday through Friday
- Flexibility to work any 8-hour shift during normal business hours of 8:00 a.m. to 5:00 p.m. CST
- Ability to work occasional overtime as needed
- Must be 18 years of age or older
Preferred Qualifications
- Behavioral health experience
- Experience with fraud, waste, abuse, and error
- Knowledge of CMS 1500 and UB04 data elements
- Encoder Pro familiarity
Telecommuting Requirements
- Ability to keep company-sensitive documents secure
- Dedicated work area separated from other living areas with information privacy
- Ability to maintain a UnitedHealth Group approved high-speed internet connection
Soft Skills
- Strong oral and written communication skills
- Strong organizational and time management skills
- Ability to work independently or as part of a team
- Ability to meet production standards while managing multiple priorities
Benefits & Perks
Benefits and Perks
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase plan
- 401(k) contribution
- Career development opportunities
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 months ago