R&D Clinical and Medical Coding Analyst

Solventum

full-time

Posted on: 9/30/2025

Location Type: Hybrid

Location: Colorado • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

Provide subject matter expertise in the clinical content development, specification, documentation, validation, application, and maintenance of Solventum outpatient public and proprietary groupers, code editors, and software including Tricare, Home Health, IOCE (Integrated Outpatient Code Editor), and EAPG (Enhanced Ambulatory Payment Grouper).
Contribute and coordinate with the research efforts related to the 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 to the methodologies by translating clinical hypotheses into clinical logic content specifications using existing coding systems and documenting clear clinical specifications.
Work directly and collaborate with the technical, quality, and clinical team members, integrating product concepts to implement and evaluate the clinical specification.
Responsible for maintaining process documentation for the methodologies update using C&ER standards and methods.
Participate in onboarding activities which may require travel to a designated company location for on-site orientation.

Requirements

Bachelor’s Degree AND 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, and 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.
Must demonstrate the 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.
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).
Travel – May include up to 5%.
Additional (preferred) qualifications: Master’s degree in health field, clinical informatics, clinical coding, and/or HIM credentials.
Additional (preferred) qualifications: Familiarity with patient classification research and development: Outpatient coding and payment systems; Commercial, Medicare and Medicaid environments; Risk adjustment.
Deep knowledge of ICD-10-CM, CPT, NDC, and APC; 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.

Benefits

Solventum offers many programs to help you live your best life – both physically and financially.
May be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.).
Competitive pay and benefits benchmarking with comparable companies.
Onboarding travel arrangements and related expenses will be coordinated and paid for by the company for initial on-site onboarding.