Remote Healthcare Coding Quality Analyst

UnitedHealth Group; Plymouth (MN); Remote; USD 33,000 - 59,000; Full time

Benefits offered by this job

Comprehensive benefits package

401k contribution

Job summary

UnitedHealth Group is seeking a Coding Quality Analyst to help ensure accuracy and compliance in medical coding and auditing processes. This full-time role offers 40 hours per week, with potential overtime, and the option to telecommute from anywhere in the United States during normal business hours.

The primary duties include reviewing records for fraud indicators, documenting decisions in our systems, presenting findings to teams, and collaborating on coding trend analysis.

Qualifications

• High School Diploma or equivalent required.
• Active and unrestricted coding certification (AHIMA CCS/CCS-P or RHIT) or AAPC CPC.
• 2+ years of CPT medical coding experience.
• 2+ years of medical record auditing experience.
• Must be 18 years of age or older.

Responsibilities

• Conduct reviews on records identified as suspicious/potentially fraudulent using CPT/ICD-9/ICD-10/HCPCS guidelines.
• Document decisions in appropriate company systems with clear notations.
• Discuss and present decisions to internal/external stakeholders as needed.
• Coordinate with team to understand trends in billing/coding issues.

Skills

CPT coding experience

Medical record auditing

Coding certification (AHIMA/AAPC)

Education

High School Diploma/GED

Job description

UnitedHealth Group is seeking a Coding Quality Analyst to help ensure accuracy and compliance in medical coding and auditing processes. This full-time role offers 40 hours per week, with potential overtime, and the option to telecommute from anywhere in the United States during normal business hours.

The primary duties include reviewing records for fraud indicators, documenting decisions in our systems, presenting findings to teams, and collaborating on coding trend analysis.