Remote Outpatient Coding Compliance Auditor

UnitedHealth Group; Montgomery (AL); Remote; USD 73,000 - 130,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase and 401k

Job summary

UnitedHealth Group is seeking an Outpatient Coding Compliance Auditor. The role conducts audits of outpatient facility coding to ensure ICD-10-CM and CPT accuracy, reviews documentation, and verifies alignment with guidelines and billing standards.

You’ll identify trends, root causes, and opportunities for improvement while communicating findings to stakeholders. Responsibilities include QA coding oversight, independent reviews, and supporting organizational compliance initiatives.

Qualifications

• 5+ years of Outpatient Facility coding experience including surgical, observation and ED.
• CPC, CCS or COC certification is required; RHIA/RHIT/CPMA a plus.
• Proficient in ICD-10-CM, CPT, CPT-4 and Medicare OPPS knowledge.
• Strong independent audit and coding review capabilities with clear communication.

Responsibilities

• Perform coding compliance and quality audits for outpatient facility coding.
• Analyze clinical documentation from medical records and validate coding accuracy.
• Identify findings, calculate billing error rates and perform root-cause analysis.
• Evaluate corrective action plans and provide follow-up validation.
• Document audit results and communicate with stakeholders; develop education from findings.
• Audit vendor coders/auditors and monitor industry/regulatory updates.

Skills

Attention to detail

Strong communication

Time management

Excel / Office proficiency

Audit/analytical skills

Education

RHIA or RHIT or CPMA certification

Tools

Microsoft Excel

Microsoft Teams

PowerPoint

Word

Outlook

Job description

UnitedHealth Group is seeking an Outpatient Coding Compliance Auditor. The role conducts audits of outpatient facility coding to ensure ICD-10-CM and CPT accuracy, reviews documentation, and verifies alignment with guidelines and billing standards.

You’ll identify trends, root causes, and opportunities for improvement while communicating findings to stakeholders. Responsibilities include QA coding oversight, independent reviews, and supporting organizational compliance initiatives.