Remote Senior Claims Recovery & Resolution Analyst

Sacbar; Northern (KY); Hybrid; USD 33,000 - 59,000; Full time

Benefits offered by this job

Telecommute from anywhere in the U.S.

Job summary

UnitedHealth Group is seeking a Senior Recovery Resolution Analyst to validate provider claims against medical records and apply coding guidelines in post-payment reviews.

You will audit CPT/HCPCS codes, determine payment accuracy, and collaborate with teams while maintaining caseload and productivity in a remote telecommute setting.

This role requires AHIMA/AAPC credentials, 2+ years of coding experience, and strong analytical skills.

Qualifications

• 2+ years of medical coding and claims auditing experience.
• Ability to interpret coding and regulatory guidelines.
• Strong written and verbal communication.
• Proficient with multiple computer systems.

Responsibilities

• Perform quality audits of CPT/HCPCS/modifiers on telecommuted claims.
• Determine accuracy of coding and payment recommendations post-payment.
• Review medical records and apply policy guidance to complex cases.
• Maintain daily caseload with quality and productivity targets.

Skills

Medical coding

Auditing

Data analysis

Communication

Education

Bachelor degree

Tools

COSMOS

Facets

CPW

NICE

Job description

UnitedHealth Group is seeking a Senior Recovery Resolution Analyst to validate provider claims against medical records and apply coding guidelines in post-payment reviews.

You will audit CPT/HCPCS codes, determine payment accuracy, and collaborate with teams while maintaining caseload and productivity in a remote telecommute setting.

This role requires AHIMA/AAPC credentials, 2+ years of coding experience, and strong analytical skills.