The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels ...
The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels ...
Outpatient Facility Coding Compliance Auditor
Montgomery, AL · Remote
$72K - $130K/yr
The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels ...
Outpatient Facility Coding Compliance Auditor
Montgomery, AL · Remote
$72K - $130K/yr
The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels ...
Coding Tutor
Montgomery, AL · Remote
$18 - $40/hr
About the Job The Varsity Tutors Live Learning Platform has thousands of students looking for online Coding tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility ...
Coding Tutor
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$18 - $40/hr
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Vibe Coding Tutor
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$18 - $40/hr
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Hierarchical Condition Category (HCC) Coding Specialist
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$41.85/hr
Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works ...
Hierarchical Condition Category (HCC) Coding Specialist
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$41.85/hr
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Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus
Montgomery, AL · On-site
$32 - $42/hr
Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments * Maintain site-specific productivity benchmarks * Foster professional communication with colleagues ...
New
Inpatient Medical Coder - FT - Up to $5,000 Sign on Bonus
Montgomery, AL · On-site
$32 - $42/hr
Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments * Maintain site-specific productivity benchmarks * Foster professional communication with colleagues ...
New
Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus
Montgomery, AL · On-site
$32 - $42/hr
Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments * Maintain site-specific productivity benchmarks * Foster professional communication with colleagues ...
New
Inpatient Medical Coder - PRN - Up to $1,000 Sign on Bonus
Montgomery, AL · On-site
$32 - $42/hr
Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments * Maintain site-specific productivity benchmarks * Foster professional communication with colleagues ...
New
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$48.50 - $65.25/hr
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Provides technical expertise to client to ensure the project complies with all engineering standards, codes, specifications and design instructions. * Performs inspections and completes daily site ...
Provides technical expertise to client to ensure the project complies with all engineering standards, codes, specifications and design instructions. * Performs inspections and completes daily site ...
Provides technical expertise to client to ensure the project complies with all engineering standards, codes, specifications and design instructions. * Performs inspections and completes daily site ...
Provides technical expertise to client to ensure the project complies with all engineering standards, codes, specifications and design instructions. * Performs inspections and completes daily site ...
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Coding information
See Montgomery, AL salary details
$13.32 - $17.01
0% of jobs
$17.01 - $20.71
0% of jobs
$20.71 - $24.41
16% of jobs
$25.23 is the 25th percentile. Wages below this are outliers.
$24.41 - $28.10
40% of jobs
$28.10 - $31.80
5% of jobs
$31.80 - $35.50
9% of jobs
$37.57 is the 75th percentile. Wages above this are outliers.
$35.50 - $39.19
9% of jobs
$39.19 - $42.89
10% of jobs
$42.89 - $46.59
6% of jobs
$46.59 - $50.28
3% of jobs
$50.28 - $53.98
2% of jobs
$13
$32
$53
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Newcomers to coding positions often encounter challenges such as understanding complex codebases, debugging unfamiliar issues, and keeping up with rapidly evolving technologies. It's common to feel overwhelmed at first, especially when navigating large projects or collaborating with distributed teams. Asking questions, seeking mentorship, and leveraging resources like documentation and online communities can ease the transition. With time and experience, most coders become more comfortable handling these challenges and contribute effectively to their teams.
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A coding job involves writing, testing, and maintaining code to build software applications, websites, or systems. Coders, also known as programmers or developers, use programming languages like Python, Java, or JavaScript to create and optimize digital solutions. They work in various industries, including technology, healthcare, finance, and entertainment. Coding jobs may also involve debugging, collaborating with teams, and continuously learning new technologies to improve software performance.
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What are the key skills and qualifications needed to thrive in the Coding position, and why are they important?
To excel in a coding role, you need a solid understanding of programming languages (such as Python, Java, or JavaScript), problem-solving abilities, and typically a degree in computer science or related field. Familiarity with code editors, version control systems like Git, and sometimes certifications such as CompTIA or specific software credentials are highly valued. Strong analytical thinking, attention to detail, and effective teamwork and communication skills help coders stand out. These competencies ensure that coding professionals can develop reliable software solutions, collaborate efficiently with other team members, and adapt to evolving project requirements.

Full-time
Retirement
Posted 17 days ago
UnitedHealth Group rating
7.6
Based on 145 frontline employees who took The Breakroom Quiz
191st of 882 rated healthcare providers
Job description
The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards while effectively communicating findings to stakeholders. The Auditor also analyzes audit outcomes to identify trends, determine root causes, and pinpoint opportunities for improvement, as well as assess the effectiveness of corrective actions. Additionally, as part of the Compliance Workplan the Auditor participates in quality assurance (QA) coding oversight, conducts independent reviews, and supports organizational compliance initiatives.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Perform coding compliance and quality audits in support of Optum Insight Provider's Compliance Program and client expectations
- Independently analyze and interpret clinical documentation from medical records
- Validate coding accuracy for outpatient facility, including E/M services, procedures, and modifiers
- Identify audit findings, calculate billing error rates, and perform root cause analysis to determine drivers of non-compliance
- Assess and evaluate the adequacy and effectiveness of corrective action plans, providing follow-up validation as appropriate
- Clearly document audit findings and articulate results tailored to the appropriate audience
- Prepare written audit analysis and summary reports, including compliance risk, trends, and recommended corrective actions
- Conduct ad hoc coding and billing audits as requested
- Provide compliance oversight of QA audit activities, ensuring consistency and adherence to established standards
- Audit vendor coders and auditors, including offshore staff
- Monitor and track evolving industry trends, regulatory updates, and government audit activities to identify potential coding and billing risk areas
- Stay current with applicable coding, billing, and regulatory guidelines
- Research, develop, and present targeted education based on individual, team, and systemic audit findings
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:
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC)
- 5+ years of Outpatient Facility coding experience including:
- NCCI/OCE billing edits related to outpatient services coding and billing
- ICD-10-CM and CPT (including CPT-4)
- ACEP Facility or similar Facility E/M matrix guidelines for outpatient facility code assignment
- 5+ years of Outpatient Facility audit experience, including surgery, observation, and emergency department, including: (Strong industry knowledge of Medicare regulations and payment policies, including OPPS)
Preferred Qualifications:
- Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Medical Auditor (CPMA) a plus
- Demonstrated ability to perform independent, autonomous audit and coding review functions
- Strong professional communication skills, both oral and written
- Ability to prioritize and manage multiple assignments, spreadsheets, documents, and reports
- Proven time management skills with consistent follow-through to completion
- Proficiency with Microsoft Excel, Teams, PowerPoint, Word, and Outlook
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,00 0 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN
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About UnitedHealth Group
Sourced by ZipRecruiter
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Minnetonka, MN, US
Year founded
1977