Coding Denials & Auditing Supervisor

UnitedHealth GroupMiddletown, NY
$60,200 - $107,400Remote

About The Position

The Coding Denials & Auditing Supervisor is responsible for the oversight of coding denial resolution, coding quality auditing, and compliance monitoring across professional fee services. This role ensures accurate, complete, and compliant coding practices while reducing denial volume, improving first-pass yield, and supporting revenue integrity initiatives. The Supervisor leads a team of coding denial specialists and/or auditors, drives root cause analysis, and partners with coding, charge capture, and provider teams to identify trends and implement sustainable process improvements.

Requirements

  • High School Diploma/GED
  • CCS, CPC, or equivalent certification required
  • 5+ years of professional coding experience
  • 5+ years of experience in denials management, auditing, or coding quality review
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) and is able to secure Protected Health Information (PHI)
  • Must live in a location where there is a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
  • Ability to work Monday through Friday 8:00 am to 5:00 pm EST

Nice To Haves

  • 5+ years of professional coding experience multi-specialty preferred
  • 1+ years of prior supervisory or leadership experience
  • CEMA certifications
  • Ability to work independently and maintain good judgment and accountability
  • Demonstrated ability to work well with health care providers
  • Strong organizational and time management skills
  • Ability to multi-task and prioritize tasks to meet all deadlines
  • Ability to work well under pressure in a fast-paced environment
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others
  • Ability to collaborate with your work team
  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Responsibilities

  • Supervise daily operations of coding denial work queues, ensuring timely and accurate resolution of payer denials
  • Establish productivity and quality expectations for denial staff and monitor performance against targets
  • Review complex denials and provide guidance on appropriate coding corrections, appeals, or education opportunities
  • Identify denial trends (e.g., bundling, modifier usage, medical necessity) and escalate systemic issues
  • Oversee routine and targeted coding audits (prospective and retrospective) to ensure compliance with applicable coding standards
  • Ensure audits are conducted using CPT®, ICD-10-CM, HCPCS, CMS, and payer-specific guidelines
  • Validate audit accuracy, scoring methodology, and consistency across auditors
  • Maintain audit schedules aligned with compliance requirements and organizational priorities
  • Performs other duties as assigned

Benefits

  • Competitive base pay
  • Full and comprehensive benefit program
  • Performance rewards
  • Paid Time Off which you start to accrue with your first pay period
  • 8 Paid Holidays
  • Medical Plan options
  • Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance
  • Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan
  • Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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