Certified Professional Coder - Benefit Digitization Project - Remote

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

We are seeking a Certified Professional Coder (CPC) to support a strategic benefit digitization initiative. This role is critical in ensuring standardized, accurate, and consistent coding practices that align with benefit interpretation and administration across multiple markets.

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

Primary Responsibilities:

• Standardized Coding Implementation:
  • Apply formal and consistent coding standards to interpret and digitize benefit structures
• Procedure & Service Code Grouping:
  • Develop and maintain groupings of procedures and service codes to ensure accurate benefit alignment
• Code Maintenance:
  • Update and manage quarterly and annual industry standard code updates as well as benefit plan updates throughout the year
• Benefit Coding Support:
  • Execute standard coding for benefit administration across diverse markets
  • Provide customized coding solutions for nonstandard benefit requests from internal and external stakeholders
• Mandate Compliance:
  • Ensure coding aligns with regulatory mandates and support updates as required
• Consultation & Support:
  • Respond to general coding inquiries and provide expert guidance to project teams and business partners
• Project Collaboration:
  • Actively contribute to cross-functional project workstreams, offering coding expertise to support successful implementation

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 (AAPC or AHIMA)
• 3+ years of experience with coding and reimbursement methodologies (e.g. CPT, HCPCS, ICD-10, CMS,)
• 3+ years of managed care experience
• Has previously worked or is currently working as a contractor placed at UHG or one of its subsidiaries or affiliates
• Intermediate to advanced level in the use of MS Word, Excel, Access, and PowerPoint

Preferred Qualifications:

• Active unrestricted RN license
• Worked with UHC benefits
• Claims or Medical Management experience

Soft Skills:

• Ability to analyze and translate data to develop recommendations for action plans
• Excellent written and verbal communication skills
• Able to work with minimal supervision
• Flexible with a solid ability to multitask.

*All employees working remotely 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 $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.