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As a Coding Quality Analyst at UnitedHealth Group, you will play a crucial role in ensuring the accuracy and quality of coding practices within the organization. This position allows for remote work from anywhere in the U.S., providing flexibility while tackling significant challenges in the healthcare coding field. You will be part of Optum, a global organization dedicated to improving health outcomes through technology and care delivery. Your contributions will directly impact the communities we serve, helping to advance health equity on a global scale. In this role, you will perform peer-to-peer overreads daily, providing expertise and support in reviewing, researching, and resolving various appeals and grievances. You will analyze trends related to these appeals and grievances, ensuring that all coding practices adhere to established guidelines. Your responsibilities will include reviewing medical records previously coded by peers to verify the accuracy, completeness, and appropriateness of diagnosis codes based on documentation. You will also prepare and present feedback to coding staff and upper management, contributing to ongoing quality improvement initiatives. The position requires a strong knowledge of coding compliance and reimbursement procedures, particularly related to Medicare Risk Adjustment HCCs. You will need to be methodical and detail-oriented, capable of managing multiple priorities and projects effectively. The role demands a high level of independence, reliability, and the ability to work under strict deadlines while maintaining compliance with company policies and procedures. You will also be expected to participate in process improvement initiatives, further enhancing the quality of coding practices within the organization.
