Remote Coding Quality & Education Analyst

UnitedHealth Group; Bangor (ME); Remote; USD 40,000 - 72,000; Full time

Job summary

Northern Light Health, in strategic partnership with Optum, offers opportunities across clinical and coding roles. This position focuses on expert medical coding, education, and compliance within a broad physician network.

Telecommuting is available from anywhere in the U.S. with a focus on accurate documentation, guidance to physicians, and ongoing audits to optimize revenue and quality. Competitive pay and comprehensive benefits are provided.

Qualifications

• Professional coder certification with AHIMA and/or AAPC maintained annually.
• 3+ years of Physician medical coding experience in a multi-specialty physician clinic.
• 2+ years in Residency Program with surgical coding experience in E/M and related specialties.
• 2+ years providing expert level coding guidance to physicians, practitioners, and coders as needed.
• Intermediate knowledge of MUE and NCCI classification and reimbursement structures.
• Intermediate proficiency in Windows PC environment, including MS Excel and Epic.

Responsibilities

• Serve as a liaison between coding teams and providers, delivering expert guidance to resolve inquiries and concerns.
• Collaborate with Edits and Denials teams to analyze trends and implement educational initiatives or system edits to address recurring issues.
• Partner with clinical leadership during the introduction of new services to ensure accurate documentation and coding compliance.
• Provide annual education to providers with code set updates to maintain compliance and accuracy.
• Conduct annual provider audits to validate charges and support documentation, while identifying potential revenue opportunities.
• Educate coders and providers on audit findings and emerging trends to promote continuous improvement.
• Assist coders and/or supervisors as needed on rebuttals for tri-annual audits.

Skills

Coding guidance

Communication

Audit knowledge

Excel

Epic

Education

High School Diploma/GED

AHIMA/AAPC Certification

Tools

Epic

Encoder Pro

Microsoft Teams

Job description

Northern Light Health, in strategic partnership with Optum, offers opportunities across clinical and coding roles. This position focuses on expert medical coding, education, and compliance within a broad physician network.

Telecommuting is available from anywhere in the U.S. with a focus on accurate documentation, guidance to physicians, and ongoing audits to optimize revenue and quality. Competitive pay and comprehensive benefits are provided.