Summary
UnitedHealth Group is seeking a Senior Clinical Analyst to determine the accuracy of medical claims by comparing provider records to CPT/HCPCS/ICD coding standards. The role requires independent decision making, regulatory know‑how, and strong communication across teams in a telecommuting setup.
You will audit CPT/HCPCS coding, review medical records, and ensure compliance with policies while supporting other investigative areas. A HS diploma and coder credentials are required.
#J-18808-LjbffrJob Description
UnitedHealth Group is seeking a Senior Clinical Analyst to determine the accuracy of medical claims by comparing provider records to CPT/HCPCS/ICD coding standards. The role requires independent decision making, regulatory know‑how, and strong communication across teams in a telecommuting setup.
You will audit CPT/HCPCS coding, review medical records, and ensure compliance with policies while supporting other investigative areas. A HS diploma and coder credentials are required.
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