Optum · 1 hour ago
Coding Strategy Lead - Remote
United States
Full-time
Remote
Senior Level, Lead/Staff
$113K/yr - $193K/yr
8+ years expOptum is dedicated to improving health data flow and creating a connected system. The Coding Strategy Lead will serve as the primary Medical Coding Subject Matter Expert for Revenue Cycle Management, responsible for developing coding strategies, ensuring compliance, and managing regulatory complaints while collaborating with various teams to address denial issues.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Execute strategic plans in partnership with enterprise leadership, including short- and long-term coding strategies
Lead implementation and strategy for regulatory complaint management within RCM Center of Excellence
Represent RCM Operations as SME during JOC calls with payer partners
Provide coding expertise during payer contract negotiations to address deficiencies
Drive informed business decisions leveraging both clinical and coding knowledge
Ensure achievement of key service level agreements (e.g., Initial Denial Rate, Final Denial Write-Off, Aging A/R, Appeal Overturns)
Identify and remove operational barriers; conduct deep-dive program reviews to uncover improvement opportunities
Promote continuous improvement in productivity and operational efficiency
Partner to review, create, and maintain coding workflows to ensure accuracy and efficiency
Provide guidance and expertise to internal and external partners for effective program implementation
Interpret contractual requirements and communicate strategies to resolve issues
Conduct regular stakeholder meetings to review updates, compliance audits, and operational challenges
Develop corrective action plans to address stakeholder concerns and operational issues
Qualification
Required
8+ years in Revenue Cycle Management
8+ years of coding experience with certifications in both Professional and Facility Coding
5+ years influencing C-Suite decisions
3+ years using operational metrics, analytics, and dashboards to drive performance
3+ years of leadership experience across operational teams and functions
Experience with line-item denials and policy
Intermediate proficiency in Microsoft Office Suite (Word, PowerPoint, Excel, Outlook)
Advanced Excel skills (filters, pivot tables, formulas)
Preferred
Experience in Payer - Managed Health Care
Payment Integrity
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