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Inpatient Coding Auditor - Telecommute

UnitedHealth Group

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Job Details

Inpatient Coding Auditor - Telecommute(Job Number:725950)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
The Inpatient Coding Auditor provides auditing services across clients in Inpatient chart types and code sets. Reviews documentation and related coding, auditing correct assignment of CPT, ICD-10-CM/PCS, HCPCs, or Professional Evaluation and Management codes, as applicable, to verify coding and billing accuracy and that coders base code assignment in a manner consistent with relevant laws, regulations, coding and billing standards. The Inpatient Coding Auditor will provide education to coders on audit results, utilize expertise to research and respond to challenging coding questions. The Inpatient Coding Auditor will have the expertise to respond to client requests to conduct ad hoc IP coding and billing audits.
Primary Responsibilities:
  • Perform coding compliance and quality audits in support of Optum360's Compliance Program and client expectations
  • Analyze and interpret documentation from medical records
  • Clearly document audit findings and calculate billing error rates
  • Provide feedback and education as appropriate depending on findings
  • Articulate audit findings appropriate for audience. Prepare written audit reports as needed summarizing audit findings and any corrective action necessary to mitigate risk
  • Conduct ad hoc coding and billing audits as requested
  • Assist client organization with internal or external Compliance reviews
  • Educate and audit coders
  • Stay abreast of relevant billing and coding guidelines concerning the current areas of audit focus
  • Research, develop and present education to coders as needed
  • Conduct auditor peer review audits as requested

Job Quality Management
Primary Location US-Washington
Other Location 
Organization O360 Admin
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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