Remote Coding Quality Auditor – Compliance & Audits

UnitedHealth Group; Phoenix (AZ); Remote; USD 60,000 - 107,000; Full time

Job summary

Optum Insight within UnitedHealth Group is seeking a Coding Quality Auditor to oversee regulatory compliance audits and coding quality across domestic sites. The role involves examining inpatient coding, partnering with CDI teams, and maintaining strong client relationships while upholding Optum360 values.

You’ll have the flexibility to telecommute from anywhere in the U.S. and work on improving risk management, quality, and revenue growth through responsible AI and data accuracy.

Qualifications

• High School Diploma/GED required.
• AAPC or AHIMA (CCS, CPC, RHIT or RHIA) certification.
• 3+ years of Inpatient Facility coding and auditing experience.
• 1+ years collaborating with CDI and quality leadership to improve reimbursement and coding accuracy.
• 1+ years of experience with computer assisted coding technologies and EMR coding workflow.
• Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint, and SharePoint.
• Advanced organizational skills with ability to multi-task and manage multiple projects.

Responsibilities

• Conduct internal monitoring/auditing of inpatient coding charts to identify process gaps and address organizational risks.
• Analyze audit results to identify potential risks and communicate findings.
• Identify trends to identify potential compliance issues and communicate them.
• Provide quality feedback by completing internal coding quality audits to staff and leadership.
• Maintain expert knowledge of coding operations and ensure adherence to policies and standards.

Skills

Inpatient coding

Auditing

CDI collaboration

EMR coding workflow

Office software

Multi-tasking

Education

High School Diploma/GED

AAPC or AHIMA certification

Job description

Optum Insight within UnitedHealth Group is seeking a Coding Quality Auditor to oversee regulatory compliance audits and coding quality across domestic sites. The role involves examining inpatient coding, partnering with CDI teams, and maintaining strong client relationships while upholding Optum360 values.

You’ll have the flexibility to telecommute from anywhere in the U.S. and work on improving risk management, quality, and revenue growth through responsible AI and data accuracy.