[Hiring] Pre Pay Coding Consultant @UnitedHealth Group

Role Description

The Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. This position will achieve applicable targets and metrics as determined and provide mentoring, explanations, and feedback to others on difficult issues. The Coding Consultant provides coding guidance to investigators on CPT codes relevant to an investigation and works with minimal guidance, seeking input on the most complex tasks. This role involves:

• Reviews prepay claims with corresponding medical records to determine payment accuracy. (85%)
• Reviews applicable policies, CPT guidelines, and contracts as they pertain to clinical review. (10%)
• Continuous monitoring of claim inventory in order to adhere to performance guarantees. (5%)

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

Qualifications

• High School Diploma/GED
• Certified Coder with credentials from AAPC with a CPC or AHIMA with CCS, RHIT, RHIA
• 3+ years of CPT coding experience
• Recent professional coding/auditing experience within the last 1-2 years
• Intermediate level of proficiency with PC based software
• Ability to work our normal business hours of 8:00am – 5:00pm, Monday - Friday
• Must be 18 years of age or older

Requirements

• Ability to prioritize and manage multiple tasks
• Proven ability to work in a team setting
• Excellent oral and written communication skills and presentation skills
• Experience with health insurance billing/coding

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution (all benefits are subject to eligibility requirements)
• Hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location, and income—deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.