Remote Coding Quality Analyst: Healthcare Audits & Fraud

Quality Search Personal GmbH; Plymouth (MN); Hybrid; USD 33,000 - 59,000; Full time

Benefits offered by this job

Remote work

Job summary

UnitedHealth Group is seeking a Coding Quality Analyst to join our remote-friendly team. This full-time role involves reviewing records for potential fraud, coding accuracy, and collaboration with colleagues across departments. Flexible 8-hour shifts within CST hours may be required, with occasional overtime.

Strong attention to detail and communication are essential. You will work from a home office anywhere in the U.S., with structured training and ongoing development opportunities.

Qualifications

• High School Diploma or GED required.
• AHIMA CCS/CCS-P or RHIT, or AAPC CPC certification.
• 2+ years CPT medical coding experience.
• 2+ years medical record auditing experience.
• Full-time 40 hours/week; 8am-5pm CST; possible overtime.
• Must be 18 years or older.

Responsibilities

• Review records identified as suspicious or potentially fraudulent.
• Document decisions in company systems.
• Discuss and present decisions with internal/external groups.
• Coordinate with team to identify billing and coding trends.

Skills

Strong communication

Time management

Independent worker

Education

High School Diploma/GED

Tools

Encoder Pro

CMS 1500 knowledge

UB04 knowledge

Job description

UnitedHealth Group is seeking a Coding Quality Analyst to join our remote-friendly team. This full-time role involves reviewing records for potential fraud, coding accuracy, and collaboration with colleagues across departments. Flexible 8-hour shifts within CST hours may be required, with occasional overtime.

Strong attention to detail and communication are essential. You will work from a home office anywhere in the U.S., with structured training and ongoing development opportunities.