Coding Quality Analyst
UnitedHealth Group · Plymouth, Minnesota, United States
Posted 5 days ago
About this role
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities
Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting
Growing together. The Coding Quality Analyst position is full time 40hours/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 You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in
Required Qualifica
Apply for this role on UnitedHealth Group’s official careers site.