Charge Capture - Coding Analyst - Remote

Optum Insightis improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deepexpertisein the industry and innovative technology empower us to help organizations reduce costs while improving risk management,quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring.

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The Charge Capture - Coding Analyst supports accurate coding, charge capture, billing compliance, and revenue integrity for Cardiac Catheterization and Interventional Radiology services. The role analyzes clinical documentation, coded data, charging workflows, and reimbursement requirements; identifies operational and compliance opportunities; and partners with clinical, coding, billing, and information technology teams to implement effective solutions.

You'llenjoy the flexibility to work remotely
* from anywhere within the U.S. as you take on some tough challenges.

• Review Cardiac Catheterization, Electrophysiology (EP), and Interventional Radiology documentation, coding, and charge capture processes to ensure accuracy, completeness, regulatory compliance, and optimal reimbursement
• Perform comprehensive audits and analyses of coding, billing, and charge capture practices to identify revenue leakage, compliance risks, and opportunities for process improvement
• Research and resolve complex coding, documentation, billing, and reimbursement issues related to Cardiac Catheterization and Interventional Radiology services
• Maintain expertise in CPT, HCPCS, ICD-10-CM, NCCI edits, Medicare guidance, and payer-specific policies, and communicate relevant updates to operational and clinical stakeholders
• Serve as a subject matter expert and trusted resource for Cardiac Catheterization, EP Lab, and Interventional Radiology coding, billing, and revenue integrity practices
• Develop and deliver education and training on coding, documentation, charge capture, reimbursement, and compliance requirements
• Partner with physicians, department leaders, facility staff, revenue cycle teams, and operational stakeholders to improve coding accuracy, documentation quality, charge capture, and reimbursement outcomes
• Evaluate new and existing services to ensure appropriate charge capture processes, coding compliance, and alignment with industry and organizational best practices
• Identify system, workflow, and operational improvement opportunities and participate in the development and implementation of solutions that enhance billing accuracy and revenue performance
• Support EHR optimization and implementation initiatives by providing coding, charging, and revenue integrity expertise
• Coordinate and lead revenue integrity initiatives that strengthen compliant revenue capture through reimbursement analysis, workflow optimization, audit findings, and process improvements
• Prioritize and manage multiple projects and assignments while independently investigating and resolving complex issues within the area of expertise
• Demonstrate flexibility and adaptability in supporting evolving departmental, regulatory, and organizational priorities

• Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization; behavior supports the organization's core commitments of Integrity, Service, Respect, Teamwork, Excellence, and Innovation

• This job description describes the general nature and level of work required by the…