Coding Quality and Optimization Analyst

This is a fully remote position, open to applicants in Colorado.

📋 Description

• Evaluate performance metrics and identify trends by analyzing outputs from autonomous coding against established benchmarks.

• Recognize clinical scenarios, types of charts, specialties, and workflows suitable for enhanced automation scaling.

• Identify systemic AI errors, compliance issues, variations in coding, and data anomalies that need review or escalation.

• Work collaboratively with reporting, data science, engineering, compliance, clinical, coding, and content teams.

• Convert findings into actionable recommendations that promote responsible automation growth, mitigate risks, and yield measurable operational impacts.

• Convey insights, risks, opportunities, and customer impacts to leadership, stakeholders, and teams that interact with customers.

• Travel domestically up to 10% of the time.

• Fulfill required on-site onboarding at a designated company location during the initial days of employment.

⛳️ Requirements

• A Bachelor’s degree or higher in Health Information Management, Healthcare Informatics, Data Analytics, or a related field AND eight (8) years of experience in complex inpatient and outpatient facility coding, revenue cycle, or healthcare technology; OR a High School Diploma/GED or higher AND twelve (12) years of direct experience in healthcare revenue cycle, medical coding, or healthcare technology.

• A valid facility coding certification such as CCS, COC, RHIA, or RHIT is required.

• Proficient in using Electronic Health Record systems, Computer-Assisted Coding solutions, autonomous coding engines, or healthcare automation technologies.

• Experienced in analyzing data related to coding, revenue cycle, automation, quality, compliance, or operational performance.

• Proven experience in collaborating with technical, clinical, compliance, coding, reporting, or customer-facing teams.

• Capable of presenting insights, ROI considerations, risks, and recommendations effectively to leadership, stakeholders, and customers.

• Possess advanced analytical, critical-thinking, and problem-solving abilities.

• Excellent executive-level communication and presentation skills are necessary.

• Must be legally authorized to work in the country of employment without the need for sponsorship for employment visa status.

🏝️ Benefits

• Medical, Dental & Vision coverage.

• Health Savings Accounts.

• Flexible Spending Accounts for Health Care & Dependent Care.

• Disability Benefits.

• Life Insurance.

• Voluntary Benefits.

• Paid Absences.

• Retirement Benefits.

• Company-paid travel arrangements and related expenses for required on-site onboarding.

• Relocation assistance may be authorized.