Remote Medical Coding Auditor: Claims Integrity & Analysis

DaMar Staffing; United States; On-site; USD 50,000 - 89,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Telecommuting

Job summary

UnitedHealth Group is seeking a Medical Coding Auditor to determine the accuracy of claims by comparing to medical records for the date of service reviewed. The role requires AHIMA (CCA/CCS/CCS-P) or AAPC (CPC/CPC-I) certification, 2+ years coding and medical record review experience, and the ability to work in a production‑driven environment.

You'll enjoy telecommuting from anywhere in the U.S. The hourly pay range is $24.00–$43.00, with benefits including comprehensive plans, equity stock

Qualifications

• Certified Coder AHIMA (CCA, CCS, CCS-P) or AAPC Certified coder (CPC, CPC-I)
• 2+ years of experience as an AHIMA or AAPC Certified coder
• 2+ years of CPT/HCPCS/Modifiers coding experience
• 2+ years strong medical record review experience
• 1+ year in a metric driven team environment
• 1+ year in health insurance industry terminology and regulatory guidelines
• 1+ year experience with Waste & Error principles

Responsibilities

• Performs clinical review of CPT, HCPCS, and modifiers on claims in a telecommuting environment
• Determines accuracy of coding, billing, and payment recommendations
• Reviews applicable guidelines, policies, and clinical information to inform decisions
• Determines appropriate level of service using E/M coding principles
• Provides detailed clinical narratives on case outcomes
• Ensures adherence to state and federal compliance and contract policies
• Identifies aberrant billing patterns and flags for review
• Manages daily case assignments with quality, utilization, and productivity focus
• Provides clinical support to other investigative and analytical areas
• Participates in team and department meetings
• Works both collaboratively and independently
• Serves as a clinical resource within the team
• Coordinates with business partners for additional information

Skills

Certified coder AHIMA

Coding experience

Medical record review

Team / production driven

Regulatory knowledge

Job description

UnitedHealth Group is seeking a Medical Coding Auditor to determine the accuracy of claims by comparing to medical records for the date of service reviewed. The role requires AHIMA (CCA/CCS/CCS-P) or AAPC (CPC/CPC-I) certification, 2+ years coding and medical record review experience, and the ability to work in a production‑driven environment.

You'll enjoy telecommuting from anywhere in the U.S. The hourly pay range is $24.00–$43.00, with benefits including comprehensive plans, equity stock