Medicare Advantage Medical Coder & Training Specialist

UMR; Las Vegas (NV); On-site; USD 57,308,000 - 103,155,000; Full time

Benefits offered by this job

Paid Time Off

Medical Plan options

Dental & Vision Insurance

401(k) Savings Plan

Education Reimbursement

Job summary

UnitedHealth Group is seeking a Medical Coder to support IPA providers with ongoing ICD-10 coding education relating to Medicare Advantage risk adjustment and CMS guidelines. This role focuses on training clinical documentation to build accurate health profiles for members and improve outcomes.

The position requires travel up to 50% for chart retrievals, with responsibilities including concurrent reviews, coding audits, and collaboration across departments to meet CMS guidelines and

Qualifications

• High School Diploma or GED required.
• AAPC/AHIMA coding certification or RN/LPN pursuing coding certification within 12 months.
• 1+ year of ICD-10 coding experience.

Responsibilities

• Serve as coding and documentation resource with concurrent reviews.
• Conduct coding audits and communicate CMS/Optum guidelines to providers.
• Perform records retrieval and coding reviews.
• Collaborate with leaders to identify needs and develop solutions.
• Maintain HIPAA confidentiality and comply with coding standards.

Skills

Medical terminology

Coding certification

ICD-10 coding

CMS guidelines

Attention to detail

Communication

Team collaboration

Education

High School Diploma/GED

Associates degree in related field

RN/LPN with coding cert within 12 months

Tools

EMR systems

Microsoft Office

Job description

UnitedHealth Group is seeking a Medical Coder to support IPA providers with ongoing ICD-10 coding education relating to Medicare Advantage risk adjustment and CMS guidelines. This role focuses on training clinical documentation to build accurate health profiles for members and improve outcomes.

The position requires travel up to 50% for chart retrievals, with responsibilities including concurrent reviews, coding audits, and collaboration across departments to meet CMS guidelines and