Senior Facility Coder & Biller — Denials Expert

UnitedHealth Group; Houston (TX); On-site; USD 33,000 - 59,000; Full time

Job summary

UnitedHealth Group seeks a Senior Facility Coder/Biller to review medical records, assign accurate facility codes, and ensure timely claim submission. This role acts as a SME, resolves complex coding issues, manages denials, and supports reimbursement optimization.

The position oversees work queues, monitors productivity and quality, and mentors team members. The ideal candidate holds a CPC certification and 5+ years in facility coding, with EMR/EHR and MS Office experience.

Qualifications

• Certified Professional Coder (CPC-A or CPC) with knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines.
• 5+ years of facility coding and billing experience, including claim follow-up and denial management.
• Experience with EMR/EHR, billing systems, and Microsoft Office applications.
• Understanding of facility billing processes, claim submission, denial management, and accounts receivable follow-up.

Responsibilities

• Review medical records and assign accurate facility diagnosis and procedure codes.
• Resolve complex coding issues and manage denial follow-up to optimize reimbursement.
• Support oversight of work queues, monitor productivity and quality, and mentor team members.

Skills

CPC-CPC-A certification

ICD-10-CM

ICD-10-PCS

CPT

HCPCS

EMR/EHR experience

Microsoft Office

Education

High school diploma or equivalent

Tools

EMR/EHR

Microsoft Office

Job description

UnitedHealth Group seeks a Senior Facility Coder/Biller to review medical records, assign accurate facility codes, and ensure timely claim submission. This role acts as a SME, resolves complex coding issues, manages denials, and supports reimbursement optimization.

The position oversees work queues, monitors productivity and quality, and mentors team members. The ideal candidate holds a CPC certification and 5+ years in facility coding, with EMR/EHR and MS Office experience.