UnitedHealth Group-posted 3 months ago
$23 - $41/Yr
Full-time • Entry Level
Remote • Minneapolis, MN
Insurance Carriers and Related Activities

The Coding Quality Analyst provides coding and coding auditing services. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes. The Coding Quality Analyst is the next step of the coding process and ensures that valid Hierarchal Coding Conditions are being presented to our clients and to CMS. Intense focus, attention to detail, and due diligence are paramount for this role. You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

  • Perform a detailed review of medical records to ensure the ICD-10-CM code(s) was coded correctly during the coding and/or auditing process
  • Processes attestation sheets and progress notes out of the proprietary software work queues according to department guidelines
  • Performs the minimum number of validations consistent with established departmental goal
  • Identifies and reports quality concerns and errors to management for review and education
  • Performs all other related duties as assigned
  • High School Diploma/GED (or higher)
  • Active and unrestricted Coding Certification (CPC or CCS or RHIT or RHIA)
  • 1+ years of ICD-10 coding experience
  • Intermediate level of knowledge of HCC Coding guidelines
  • Intermediate level of proficiency in MS Office (Word, Excel & Outlook)
  • Outpatient Coding experience
  • Physician's office/hospital experience
  • Experience with Natural Language Processing (NLP) technology
  • Compliance with accuracy requirements
  • Technical expertise in ICD-10-CM
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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