Optum · 23 hours ago
Coding Quality Analyst
Plymouth, MN
Full-time
Onsite
Entry, Mid Level
$23.89/hr - $42.69/hr
2+ years expOptum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The Coding Quality Analyst position involves conducting reviews on suspicious medical records, documenting decisions, and coordinating with team members to understand billing trends. This role offers flexibility to telecommute from anywhere within the U.S.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Conduct reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD-9/ICD 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines
Documents Decisions on reviews through notations and enters notes in appropriate company systems
Ability to discuss and present decisions made to appropriate internal and external individuals/groups
Coordinate with team members to understand trends and schemes related to billing issues/coding trends
Qualification
Required
High School Diploma/GED (or higher)
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 40hours/week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm CST. It may be necessary, given the business need, to work occasional overtime
Must be 18 years of age OR older
Preferred
Behavioral Health experience
Experience with fraud, waste, abuse, and error
Knowledge of CMS 1500 and UB04 data elements
Encoder Pro familiarity
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase