Certified Professional Coder, Evaluation and Management Auditor - Telecommute

Careers at UnitedHealth Group

We're creating opportunities in every corner of the health care marketplace to improve lives while we're building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life's best work. SM

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Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life's best work. SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you'll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life's best work. SM

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

The Certified Professional Coder-Auditor is responsible for conducting Clinical Coding Logic (CCL) Audits assigned to individual's work queue in an accurate and timely manner.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
  • Perform audits of designated workers compensation and auto medical bills to ensure accurate coding/billing practices by the provider
  • Monitor's bill aging for bills held to specified queue to ensure held age does not exceed 4 days
  • Stays updated in state regulated rule changes
  • Handles and assists in reconsideration issues, discusses payment disputes with provider when necessary
  • Maintains professional knowledge by attending educational workshops, reviewing professional publications, maintains membership in professional organizations


You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • 2+ years of professional or hospital coding experience that includes Evaluation and Management coding
  • Professional coding credential such as CPC, CPC-H, CCS, COC or CCS-P (CPC-A or Risk Coder does not qualify)
  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations, as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance


Preferred Qualifications:
  • Hospital Coding experience
  • Physician's office coding experience
  • Coding experience in one or more of the following specialty areas: musculoskeletal coding, musculoskeletal surgery coding, surgery coding, neurology coding, neurosurgery coding, emergency room coding


UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with OptumRx. We're one of the largest and most innovative pharmacy benefits managers in the US, serving more than 12 million people nationwide. Here you'll fill far more than prescriptions. As a member of one of our pharmacy teams, you're empowered to be your best and do whatever it takes to help each customer. You'll find unrivaled support and training as well as a wealth of growth and development opportunities driven by your performance and limited only by your imagination. Join us. There's no better place to help people live healthier lives while doing your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $43,200 to $76,700. The salary range for Connecticut/Nevada residents is $47,700 to $84,400. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Certified Professional Coder, Auditor, Hospital Coding, Evaluation and Management, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote

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