Charge Capture - Coding Analyst - Remote

UnitedHealth Group•US, Kentucky, KY

5d•$72,800 - $130,000•Remote

About The Position

Optum Insight is 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 deep expertise in 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. Connecting. Growing together. 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’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Requirements

Ability to obtain the Certified Interventional Radiology and Cardiovascular Coder (CIRCC) certification within one year of hire
Active coding certification through AAPC or AHIMA (e.g., CPC, CCS, RHIT, RHIA, or equivalent)
3+ years of healthcare coding, billing, revenue cycle, revenue integrity, compliance, or charge capture experience, including direct experience with Cardiac Catheterization and Interventional Radiology services
Experience using Epic to support coding review, charge capture, documentation validation, and revenue integrity activities
Proven solid knowledge of CPT, HCPCS, ICD-10-CM, NCCI edits, modifiers, medical necessity requirements, and documentation standards applicable to Cardiac Catheterization and Interventional Radiology services
Demonstrated understanding of hospital, clinic, and healthcare facility operations, including revenue cycle and reimbursement processes
Experience analyzing coding, billing, charge capture, and reimbursement data to identify trends, risks, and improvement opportunities
Proficiency with Microsoft Excel and other Microsoft Office applications
Proven solid analytical, critical thinking, root cause analysis, and problem-solving skills
Proven excellent verbal and written communication skills, with the ability to effectively present findings, recommendations, and educational content to clinical, operational, and leadership audiences.
Ability to manage multiple priorities, meet deadlines, and work independently in a fast-paced environment

Nice To Haves

Current CIRCC certification
3+ years of facility coding experience in a hospital or health system setting
Experience supporting Revenue Integrity, Charge Capture, Charge Description Master (CDM), or Revenue Cycle initiatives
Experience with reimbursement analysis, revenue leakage identification, auditing, and charge capture optimization
Experience participating in EHR implementations, system enhancements, or workflow improvement initiatives

Responsibilities

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