Remote Medical Coding Quality Analyst

Texas Health Institute; Plymouth (MN); On-site; USD 33,062 - 59,236; Full time

Job summary

UnitedHealth Group is seeking a Coding Quality Analyst to review medical records for coding accuracy and potential fraud. The role offers telecommuting from anywhere in the U.S. with a standard 40-hour week, 8am-5pm CST hours, and occasional overtime.

Training provided, competitive benefits, and growth opportunities. Minimum qualifications include a high school diploma, active AHIMA/AAPC certification, and 2+ years CPT coding plus 2+ years medical record auditing experience.

Qualifications

• High School Diploma/GED required.
• Active coding certification (AHIMA or AAPC) required.
• 2+ years CPT coding experience.
• 2+ years medical record auditing experience.

Responsibilities

• Conduct reviews on records identified as suspicious or fraudulent using CPT/ICD-9/ICD-10/HCPCS guidelines.
• Document decisions in appropriate systems.
• Discuss and present decisions to internal/external stakeholders.
• Coordinate with team to identify billing trends and coding schemes.

Skills

Communication

Time management

Independent work

Education

High School Diploma/GED

AHIMA/AAAA coding certification (CCS/CCS-P/RHIT) or AAPC CPC

Job description

UnitedHealth Group is seeking a Coding Quality Analyst to review medical records for coding accuracy and potential fraud. The role offers telecommuting from anywhere in the U.S. with a standard 40-hour week, 8am-5pm CST hours, and occasional overtime.

Training provided, competitive benefits, and growth opportunities. Minimum qualifications include a high school diploma, active AHIMA/AAPC certification, and 2+ years CPT coding plus 2+ years medical record auditing experience.