Remote Clinical Coding Analyst — Pre-Payment Claims

NHSHP; Minnesota; Híbrido; USD 33 000 - 59 000; Tempo integral

Resumo da oferta

UnitedHealth Group seeks a C&S Coding Clinical Analyst to verify the accuracy of provider claims by comparing to medical records. This role supports pre-payment reviews and requires AHIMA or AAPC coding credentials with strong data interpretation and communication skills.

Remote work is available nationwide in the United States. Expected to handle multiple cases, meet production standards, and collaborate across teams while using multiple systems. Competitive hourly pay and benefits apply.

Qualificações

• AHIMA or AAPC coder certification (CPC/CCS/CCS-P).
• 2+ years as AHIMA or AAPC coder.
• 2+ years health insurance industry experience.
• 1+ years in a team in a metrics-driven environment.
• Intermediate computer skills, troubleshoot problems.

Responsabilidades

• Perform quality audits of clinical review cases for CPT/HCPCS/modifiers on claims.
• Determine accuracy of medical coding and payment recommendations for pre-claims.
• Research state/federal mandates and policies to support decisions.
• Determine appropriate E/M level using coding principles.
• Ensure adherence to compliance and reimbursement policies.

Conhecimentos

AHIMA/AAPC Coder

Data analysis

Written communications

Microsoft Office

Adobe applications

Formação académica

Bachelor's degree

High School Diploma/GED

Ferramentas

Microsoft Office

Adobe Acrobat

Descrição da oferta de emprego

UnitedHealth Group seeks a C&S Coding Clinical Analyst to verify the accuracy of provider claims by comparing to medical records. This role supports pre-payment reviews and requires AHIMA or AAPC coding credentials with strong data interpretation and communication skills.

Remote work is available nationwide in the United States. Expected to handle multiple cases, meet production standards, and collaborate across teams while using multiple systems. Competitive hourly pay and benefits apply.