Solventum is hiring a R&D Clinical and Medical Coding Analyst - Remote

Solventum is looking for an R&D Clinical and Medical Coding Analyst to provide subject matter expertise in the development and maintenance of outpatient groupers, code editors, and software. You will contribute to research and drive enhancements by translating clinical hypotheses into clinical logic specifications, partnering closely with teams across the company to enable better healthcare.

What You'll Do

• Provide subject matter expertise in the clinical content development, specification, documentation, validation, application, and maintenance of outpatient groupers, code editors, and software.
• Contribute and coordinate with research efforts related to methodologies and provide input into the prioritization of potential research enhancements.
• Work directly with the Chief Product Owner, Product Owners, and Research team to drive enhancements by translating clinical hypotheses into clinical logic content specifications.
• Document and maintain clear clinical specifications.
• Work directly and collaborate with technical, quality, and clinical team members to integrate product concepts, implement, and evaluate clinical specifications.
• Maintain process documentation for methodologies updates using C&ER standards and methods.

What We're Looking For

• Bachelor’s Degree.
• 5 years’ experience in the healthcare industry in one or more of: outpatient medical coding and billing operations, outpatient prior authorization or denials management, outpatient healthcare claims and processing optimization, payor claims design and edit management, outpatient healthcare services research and analytics.
• Significant experience working with Excel, databases, and ability to learn computer applications for analysis.
• Comfortable in a multicultural, complex, cross-functional, and dynamic work environment, able to prioritize, multi-task, focus on goals, take accountability, and manage time well.
• Ability to take individual initiative and responsibility for assignments while working independently and in a team environment.
• Ability to collaborate effectively with cross-functional teams—including clinicians, researchers, and engineers—to communicate and train on clinical workflows, healthcare coding systems, and patient classification methodologies.
• Ability to provide enthusiastic leadership that drives team engagement and performance.
• Must be legally authorized to work in country of employment without sponsorship for employment visa status.

Nice to Have

• Master's degree in health field, clinical informatics, clinical coding, and/or HIM credentials.
• Familiarity with patient classification research and development: Outpatient coding and payment systems, Commercial/Medicare/Medicaid environments, Risk adjustment.
• Deep Knowledge of ICD-10-CM, CPT, NDC, and APC, with additional knowledge of ICD-10-PCS, HCPCS, APC, HCC, and DRG.
• Ability to evaluate research questions, analyze results and statistical output and patterns, and document hypotheses and recommendations.
• Healthcare software product development experience, bringing products from initial concept to release.
• Healthcare payer, delivery or industry experience in healthcare quality, population health, care management.

Technical Stack

• Excel
• Databases

Team & Environment

You will work with cross-functional teams including clinicians, researchers, and engineers, and report to the Chief Product Owner and Product Owners.

Benefits & Compensation

• Medical, Dental & Vision
• Health Savings Accounts
• Health Care & Dependent Care Flexible Spending Accounts
• Disability Benefits
• Life Insurance
• Voluntary Benefits
• Paid Absences
• Retirement Benefits

Compensation range is $106,331 - $129,960 base pay plus variable incentive pay.

Work Mode

This is a remote position.

All qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.