Quality Assurance Auditor - Remote

Primary Responsibilities

• Affords assistance with the execution of the daily activities of the National Quality Assurance program
• Performs first-level quality audits on vendor coding results
• Performs first-level quality audits on Care Delivery coding teams coding results
• Provides support and assistance to all markets within Care Delivery on various coding initiatives, such as concurrent review, query compliance audits, and retrospective coding quality reviews
• Maintains proficiency in using multiple coding tools and Electronic Medical Record (EMR) systems
• Ensures consistent application of Optum Coding Guidelines in all processes
• Identifies issues and trends in coding and documentation that affect coding accuracy
• Provides input and valuable feedback on audit results
• Recommends process improvements
• Performs other related duties as assigned

Required Qualifications

• Coding Certification required (CPC, COC, CIC, CCS, CCS-P, or RHIT; the CPC-A or CCA designation is not acceptable)
• 4+ years of recent experience in ICD-10-CM coding, preferably in a Managed Care setting, with solid attention to detail, and proficient knowledge of ICD-10-CM coding guidelines
• 2+ years of recent Medicare Risk Adjustment experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines
• 1+ years of recent experience in a coding auditor role- auditing the work of other coders
• Compliant Physician query experience/knowledge
• Ability to work during normal business hours, Monday-Friday 8am-5pm CST (flexibility to select an earlier or later shift start time, after successful completion of training)
• Ability to continuously meet the requirements for a telecommuter, i.e. live in a location that can receive a UnitedHealth Group approved high speed internet connection, have a secure designated office space to maintain PHI, smartphone/device for Multi Factor Authentication purposes, meet or exceed all performance expectations

Preferred Qualifications

• CRC (Certified Risk Coder) in addition to required coding certification
• Inpatient coding experience
• Microsoft Office proficiency (Word, Excel, PowerPoint & Outlook)
• Excellent organizational, problem-solving, and critical thinking skills
• Excellent verbal/written communication and interpersonal skills

Pay and Benefits

The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

Job posting may come down early due to volume of applicants.