Clinical Coding & Quality Analyst - Educator & Auditor

Florida Society of Nephrology; Bangor, Northern (ME, KY); Hybrid; USD 82,656,000 - 151,536,000; Full time

Benefits offered by this job

Comprehensive benefits

Telecommuter policy

Job summary

UnitedHealth Group is seeking a skilled medical coding professional to support multi-specialty coding teams. You will serve as a trusted liaison, delivering guidance, auditing, and educational initiatives across departments to improve documentation and compliance.

The role emphasizes collaboration with clinical leadership, conducting annual audits, and providing ongoing coding education for new and existing staff to ensure accurate coding and optimized revenue.

Qualifications

• 3+ years of physician medical coding experience in a multi-specialty clinic
• AHIMA/AAPC credentialing (CPC, CCS-P, RHIA, RHIT) maintained annually
• 2+ years teaching hospital residency with surgical coding in E/M and related specialties
• 2+ years providing expert coding guidance to physicians, practitioners, and coders
• Intermediate knowledge of MUE and NCCI classification and reimbursement structures

Responsibilities

• Serve as liaison between coding teams and providers to resolve inquiries
• Collaborate with Edits and Denials teams to analyze trends and implement education
• Partner with clinical leadership during new service introductions for accurate documentation
• Deliver comprehensive coding and documentation training for new providers
• Conduct annual provider audits to validate charges and documentation

Skills

Physician coding

NCCI/MUE knowledge

Excel proficiency

Epic proficiency

Education

AHIMA/AAPC credentials (CPC/CCS-P/RHIA/RHIT)

Tools

Encoder Pro

Microsoft Teams

Job description

UnitedHealth Group is seeking a skilled medical coding professional to support multi-specialty coding teams. You will serve as a trusted liaison, delivering guidance, auditing, and educational initiatives across departments to improve documentation and compliance.

The role emphasizes collaboration with clinical leadership, conducting annual audits, and providing ongoing coding education for new and existing staff to ensure accurate coding and optimized revenue.