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Clinical Quality Analyst

Optum

Optum Insight is focused on improving the flow of health data and information to create a more connected healthcare system. This role serves as a coding support subject matter expert (SME), providing expert guidance to health systems on coding-related questions, documentation, compliance, and revenue integrity.

The position works closely with coders, providers, clinical leadership, and edits/denials teams to identify trends, educate stakeholders, and improve coding accuracy across the organization.

The role is remote and can be performed from anywhere within the United States.

Requirements & Qualifications

Required Qualifications

  • AHIMA or AAPC coding credentials such as CCS, CPC, RHIT, or RHIA
  • 5+ years of coding experience in a healthcare setting
  • Deep understanding of ICD-10, CPT, HCPCS, and official coding guidelines
  • Strong written and verbal communication skills
  • Ability to research and interpret complex coding guidelines and payer policies
  • Detail-oriented with strong critical thinking and problem-solving skills

Preferred Qualifications

  • Experience providing coding support or education
  • Experience with physician education or clinical documentation improvement (CDI)
  • Familiarity with EHR and coding tools/systems
  • Knowledge of Medicare and commercial payer reimbursement methodologies
Benefits & Perks

Benefits and Perks

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase plan
  • 401(k) contribution
  • Remote work flexibility
  • Career development opportunities

Location

Minnesota, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

Yes

Posted

1 month ago

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