Top 41 Coding quality analyst Jobs in Wilmington, De

Coding Quality Analyst
Optum —Newtown Square, PA
- $23.89 - $42.69 an hour
- Full-time
- Remote
- RN License
- Computer literacy
- Pass drug screening
Software Engineer Analyst - AI Trainer
DataAnnotation —Malvern, PA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Senior Quantitative Analyst - AI Trainer
DataAnnotation —Delaware
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply
Statistical Analyst - AI Trainer
DataAnnotation —Wilmington, DE
- $50 - $100 an hour
- Part-time
- Remote
- Computer Science
- English
- Mid-level
- Flexible schedule
Quick Apply
Data Analyst - AI Trainer
DataAnnotation —Paoli, PA
- $50 - $100 an hour
- Part-time
- Remote
- Writing skills
- English
- Mid-level
- Flexible schedule
Quick Apply
Quality Assurance Specialist- Part Time
S1 Medical —Chadds Ford, PA
- $20 - $22 an hour
- Part-time
- Remote
- Mid-level
- Communication skills
Quick Apply
Actuarial Analyst
AIG PC Global Services, Inc. —Philadelphia, PA
- $60,000 - $75,000 a year
- Email
- Bachelor of Science
- Mid-level
- Office
- Health insurance
Quick Apply
Web & SQL Developer
City of Philadelphia —Philadelphia, PA
- $80,000 - $87,000 a year
- Email
- Microsoft Access
- Computer Science
- Mid-level
- Wellness program
- Paid holidays
Quick Apply
Epic Resolute Hospital Billing Associate Analyst
Deloitte —Philadelphia, PA
- $50,000 - $60,000 a year
- Full-time
- Computer Science
- Mid-level
- Bachelor's degree
Senior Principal Real World Analyst (RWA)-2
Jazz Pharmaceuticals —Philadelphia, PA
- $151,200 - $226,800 a year
- Remote
- SQL
- Doctor of Philosophy
- Organizational skills
- Health insurance
- Dental insurance
AI Analytics Enablement - Sr. Associate (Chase Card)
JPMorganChase —Wilmington, DE
- $123,500 - $170,000 a year
- Full-time
- SQL
- Analysis skills
- Telemetry
- Health insurance
- Tuition reimbursement
Inpatient Coding Auditor
Huron Managed Services LLC —Philadelphia, PA
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
9d
Application Analyst II - Surgical Systems
UHS of Delaware, Inc. - Corporate Office —King of Prussia, PA
- Full-time
- Surgery
- English
- Mid-level
- Health insurance
- Dental insurance
Business Process Engineer – Platform Specifications Analyst
Information Consulting Services of Delaware Valley —Wayne, PA
- Contract
- Mid-level
- APIs
- Communication skills
4d
Senior Data Visualization Designer
Moody's —King of Prussia, PA
- $75,600 - $124,700 a year
- Full-time
- Computer Science
- 5 years
- Continuous improvement
- Employee stock purchase plan
- Health insurance
Salesforce Developer (CPQ)
Logic —Chesterbrook, PA
- $59,100 - $196,000 a year
- Full-time
- Hybrid work
- 6 years
- Salesforce
- Mid-level
- Paid holidays
- Disability insurance
Associate, Sales Operations
Vestwell —King of Prussia, PA
- $60,000 - $75,000 a year
- Hybrid work
- Mid-level
- Office
- Bachelor's degree
- Health insurance
Quick Apply
SAP Technical Manager
Wawa, Inc. —Media, PA
- Full-time
- Computer Science
- Office
- Mentoring
MEAN Stack Development Manager
Bridgesoft —Wilmington, DE
- Computer Science
- Java
- SQL
Procure-to-Pay Analyst
Elwyn —Media, PA
- Oracle
- Microsoft Outlook
- Research
- Paid training
- Health insurance
Quick Apply

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Coding Quality Analyst

Optum -
Newtown Square, PA

Apply Now

Job Details

Full-time
$23.89 - $42.69 an hour

Qualifications

Inpatient experience
Medicare
RN License
Medical coding experience in outpatient clinics
High school diploma or GED
Medicaid
Typing
Hospital experience
DRG

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Coding Quality Analyst will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical literature as provided, as well as interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system, and HCPCS guidelines. They will recommend changes to coding which will retain, lessen, or increase financial impact when analysis of chart indicates opportunities. They will educate clients on correct coding and compliance for best practices. They will participate in ALJ (Administrative Law Judge) hearings as representatives of the clients during tele-hearings. The Coding Quality Analyst will complete their case within the time expectations while providing high quality reviews.

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

Primary Responsibilities:

The Appeals nurse will perform their job functions, adhering to both Optum and OPAS policies and procedures, which include but are not limited to the following:

Adheres to approved schedule and arrives at work timely
Maintains accurate accounts of time off in both Verint and HR Direct as per guidelines, and follows directives for time off, schedule changes, etc.
Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, and inclusion of appropriate medical literature references
Use and fluency of encoders, coding clinics, ICD-9 and 10 guidelines, CM and PCS, CPT coding system and HCPCS guidelines
Working knowledge of Word
Effective communication skills
Excellent typing skills with a minimum speed of 45/min
Adheres to company policies and procedures as well as policies, procedures, and laws
Understands and complies with HIPAA confidentiality requirements
Support and promote OPAS, Optum, and the enterprise goals and mission
Build relationships across Optum, OPAS, OGA and our clients
Collaborate with peers to assure continuity of communication and execution of deliverables as needed
Adheres to quality and productivity expectations
Participate in and contribute to meetings as appropriate
Maintains organization on the team and ensures everyone conducts themselves professionally
Remains up to date with all learning modules, competencies, and state required licenses
Performs other related duties, tasks, and processes as required by leadership
Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure
Positive attitude and the ability to function as a collaborative team member

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

Required Qualifications:

High School Diploma/GED
Possess one of the following coding certifications - CCS, CCS-P, CPC-H, CPC, RHIT, RHIA, CDIP, CCDS
1+ years of Inpatient Hospital Coding experience
1+ years of experience with DRG methodology
1+ years of outpatient coding experience
1+ years of Medicare/Medicaid experience
Mastery level of knowledge of AHA Coding Clinic for ICD-9-CM and ICD-10
Intermediate level of computer proficiency with strong typing skills (minimum of 45 wpm)

Preferred Qualifications:

Associate's or Bachelor's Degree
Unrestricted RN license required in state of residence
3+ years of experience in ED, Telemetry, CCU
Auditing experience
Experience with Microsoft applications and software, internet navigation and utilization
Previous experience with presenting before Administrative Law Judge

Soft Skills:

Strong, effective verbal and written communication skills
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 hourly pay for this role will range from $23.89 to $42.69 per hour 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

Apply Now

Refine Your Search

coding quality analyst jobs in wilmington, de

Coding Quality Analyst

Software Engineer Analyst - AI Trainer

Senior Quantitative Analyst - AI Trainer

Statistical Analyst - AI Trainer

Data Analyst - AI Trainer

Quality Assurance Specialist- Part Time

Actuarial Analyst

Web & SQL Developer

Epic Resolute Hospital Billing Associate Analyst

Senior Principal Real World Analyst (RWA)-2

AI Analytics Enablement - Sr. Associate (Chase Card)

Inpatient Coding Auditor

Application Analyst II - Surgical Systems

Business Process Engineer – Platform Specifications Analyst

Senior Data Visualization Designer

Salesforce Developer (CPQ)

Associate, Sales Operations

SAP Technical Manager

MEAN Stack Development Manager

Procure-to-Pay Analyst

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