Clinical Quality Analyst

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 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 to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm EST. It may be necessary, given the business need, to extend hours and work occasional overtime or weekends as needed. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. Training will be conducted virtually from your home.

Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all coding staff (domestic and global) and best demonstrated coding practices; drives the integration of Optum360 Coding related business objectives within the client environment Identifies & builds consensus for facilitation of system and process standardization, utilization of best practices, work integration, change management, issue resolution, metric development and measurement, and communication related to the key components of coding operations: Executes the integration of the Optum360 Coding functions and processes in the facilities they serve Leverages standard processes, systems, or other vehicles to reduce waste and cost at the facility while improving SLAs, KPIs (Key Performance Indicators), metrics and the overall client and/or patient experience Works collaboratively with HIM, CDI, and Coding Operations to monitor day-to-day coding operations, prebill coding reviews, and prebill quality reviews Assists Coding Leadership with oversight of processes and initiatives designed to continuously improve coding quality and/or efficiency Maintains expert knowledge of coding to ensure high level of accuracy and proficiency standards of performance are achieved to meet or exceed targets Effectively leads and participates in coding quality assurance/compliance activities that include action plans relevant to audit results including remediation, education, and when appropriate assisting to create and monitor corrective action plans *internal audits for global partners Serves as the liaison between the coding operations collaboratively bring each unit together including establishing, building, and maintaining cohesive relationships with the client Effectively utilizes tools and data provided to capture and continually improve union, client, and employee engagement Leads initiatives towards meeting and exceeding employee satisfaction Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results Participates actively in leadership forums at the system level and leads such forums and other informational/educational offerings for assigned HIM/Coding/CDI Managers Provides team leadership and promotes successful business operation by: Fosters teamwork atmosphere between business and clinical stakeholders Provides staff training and mentoring Provides development of employees through consistent and constructive feedback geared towards accuracy Rewards and recognizes performance and provides leadership direction during the common review process Seeks to innovate and foster innovative ideas toward the development of staff to ensure increased employee engagement and employee satisfaction Other duties as needed and assigned by Optum360 leadership, including but not limited to