Senior Coding Quality Analyst SME - Education & Audit Lead

ISHE; Eden Prairie, Northern (MN, KY); Hybrid; USD 83,097,000 - 149,001,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) contribution

Job summary

UnitedHealth Group in Minnesota is seeking a Coding Quality Analyst SME to ensure accurate coding reviews and ongoing education across revenue cycle operations. The role includes daily reconciliations, audit management, and collaboration with coding and clinical teams.

Responsibilities include prebill reviews, resolving coding disputes, and maintaining client-specific guidelines, with strong Microsoft Office skills and AHIMA/AAPC credentials required.

Qualifications

• High School Diploma/GED required.
• Certification with AHIMA/AAPC (CPC, CCS-P, RHIA, RHIT) maintained annually.
• 4+ years of revenue cycle operations experience, Coding and HIM support.

Responsibilities

• Perform prebill reviews and resolve coding disputes.
• Conduct coding quality audits and provide coder education.
• Maintain client coding guidelines annually.
• Support meetings, assist in agenda prep, and cover other SMEs as needed.

Skills

Revenue cycle

Coding & HIM

Microsoft Office

Education

High School Diploma or GED

AHIMA/AAPC coding certification

Tools

EPIC

Meditech

3M Solventum

Job description

UnitedHealth Group in Minnesota is seeking a Coding Quality Analyst SME to ensure accurate coding reviews and ongoing education across revenue cycle operations. The role includes daily reconciliations, audit management, and collaboration with coding and clinical teams.

Responsibilities include prebill reviews, resolving coding disputes, and maintaining client-specific guidelines, with strong Microsoft Office skills and AHIMA/AAPC credentials required.