Senior Coding Quality SME: Audit & Education Lead

Colorado Psychiatric; Eden Prairie, Northern (MN, KY); Hybrid; USD 40,000 - 72,000; Full time

Job summary

UnitedHealth Group is seeking a Coding Quality Analyst SME in Minnesota to ensure accurate coding reviews, conduct audits, and educate coders. The role involves daily reconciliations, guideline maintenance, and collaboration with coding and clinical teams.

Qualifications include a high school diploma or GED, AHIMA/AAPC certification, and 4+ years in revenue cycle operations with 2+ years in acute outpatient coding.

Qualifications

• High School Diploma or GED required.
• Professional coder certification (AHIMA and/or AAPC) renewed annually.
• 4+ years in revenue cycle operations, coding and HIM support.
• 2+ years Acute outpatient coding experience.
• Experience with Microsoft Office products.

Responsibilities

• Perform prebill reviews and resolve coding disputes.
• Conduct coding quality audits and coder education.
• Maintain client coding guidelines on an annual basis.
• Support meetings, assist in agenda prep, and cover other SMEs as needed.
• Keep coding quality workflows moving and resolve escalations.

Skills

Revenue cycle

HIM coding

Coder education

Audits

Education

High School Diploma or GED

AHIMA/AAPC certification (CPC/CCS-P/RHIA/RHIT)

Tools

EPIC

Meditech

3M Solventum

Job description

UnitedHealth Group is seeking a Coding Quality Analyst SME in Minnesota to ensure accurate coding reviews, conduct audits, and educate coders. The role involves daily reconciliations, guideline maintenance, and collaboration with coding and clinical teams.

Qualifications include a high school diploma or GED, AHIMA/AAPC certification, and 4+ years in revenue cycle operations with 2+ years in acute outpatient coding.