[Hiring] Coding Quality Analyst @UnitedHealth Group

Role Description

The Coding Quality Analyst position is full time 40 hours/week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm CST. It may be necessary, given the business need, to work occasional overtime.

We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities

• Conducts reviews on records that have been identified as suspicious and/or potentially fraudulent, utilizing most current reference materials to include, but not limited to: Current Procedural Terminology (CPT), Internal Classification of Disease (ICD-9/ICD 10) and Healthcare Common Procedure Coding System (HCPCs) guidelines.
• Documents decisions on reviews through notations and enters notes in appropriate company systems.
• Ability to discuss and present decisions made to appropriate internal and external individuals/groups.
• Coordinate with team members to understand trends and schemes related to billing issues/coding trends.

Qualifications

• High School Diploma/GED
• Active and unrestricted coding certification from AHIMA (CCS, CCS-P or RHIT) or AAPC (CPC)
• 2+ years of coding experience in CPT medical coding
• 2+ years of medical record auditing experience
• Must be 18 years of age or older

Requirements

• Ability to work full time 40 hours/week Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am - 5pm CST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications

• Behavioral Health experience
• Experience with fraud, waste, abuse, and error
• Knowledge of CMS 1500 and UB04 data elements
• Encoder Pro familiarity

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills

• Strong oral and written communication skills
• Strong organizational/time management skills and be able to work independently or as a team
• Ability to meet production unit standards while engaging in multiple priorities

Benefits

• Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
• The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.