Coding and Clinical Validation Auditor

Welcome to UnitedHealth Group! We are currently seeking a highly skilled and motivated individual to join our team as a Coding and Clinical Validation Auditor. In this role, you will play a crucial part in ensuring the accuracy and integrity of our medical coding and billing processes. We are looking for someone who is passionate about healthcare, has a keen eye for detail, and possesses strong coding and clinical knowledge. If you are ready to make a positive impact on the healthcare industry and have the qualifications we are looking for, we encourage you to apply for this exciting opportunity.

1. Conduct comprehensive audits of medical coding and billing processes to ensure accuracy and compliance with industry standards.
2. Utilize coding and clinical knowledge to review medical records and identify potential discrepancies or errors.
3. Collaborate with coding and billing teams to address and resolve any identified issues.
4. Stay up-to-date with industry regulations and guidelines to ensure coding and billing practices are in compliance.
5. Educate and train coding and billing teams on proper coding guidelines and documentation standards.
6. Maintain detailed audit reports and documentation for review by management.
7. Communicate audit findings and recommendations to management and provide solutions for improvement.
8. Monitor coding and billing trends and identify areas for improvement to increase efficiency and accuracy.
9. Participate in continuous quality improvement initiatives to enhance coding and billing processes.
10. Serve as a resource for coding and billing inquiries and provide guidance to team members.
11. Adhere to all confidentiality and privacy policies to protect sensitive medical information.
12. Demonstrate a strong commitment to the mission and values of UnitedHealth Group.
13. Uphold a high level of professionalism and customer service when interacting with internal and external stakeholders.
14. Embrace and contribute to a positive and collaborative team environment.
15. Continuously seek opportunities for professional development and growth within the company.

According to JobzMall, the average salary range for a Coding and Clinical Validation Auditor in Chicago, IL, USA is $61,000 - $97,000 per year. This range can vary depending on factors such as the employer, level of experience, and specific job responsibilities.

UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.