Downtown Boulder Partnership

UnitedHealth Group invites applications for the role of Medical Coder, offering a national remote position. This full-time role involves performing code reviews on provider inquiries and claims, ensuring compliance through medical record audits. Applicants must have a High School Diploma or GED, active coding certification, and at least one year of medical coding experience with CPT and ICD-10. The compensation ranges from $19.86 to $38.85 per hour based on full-time employment with comprehensive benefits. #J-18808-Ljbffr

The Downtown Boulder Partnership is seeking a Risk Adjustment Coder to join their team in Lakeland, Florida. This role involves conducting coding audits and ensuring adherence to compliance standards. Ideal candidates will have over 10 years of experience in coding, strong knowledge of ICD-10 and CPT codes, and relevant certifications such as CPC or CCS. The position offers a structured work environment from Monday to Friday. The selected candidate will have opportunities for continued training and responsibility in a collaborative healthcare setting. #J-18808-Ljbffr

Downtown Boulder Partnership is seeking a Clinical RN Auditor to ensure clinical documentation meets regulatory standards. This hybrid role requires 1-2 days per week in the Colchester, VT office for collaboration and in-person meetings. The auditor will review care documentation for accuracy, working to improve clinical outcomes while reducing risk through monitoring and expert collaboration. Candidates should possess Vermont RN Licensure and relevant coding certifications, along with strong experience in home health or hospice settings. #J-18808-Ljbffr

Job Description Initial onboarding will take place at our offices in Colchester, VT. The position will then be a hybrid work arrangement with 1-2 days per week in our offices located in Colchester, VT. In-person meetings are also required at least quarterly. Job Summary The Clinical RN Auditor is responsible for ensuring clinical documentation meets regulatory standards and procedures. This role involves reviewing potential quality of care issues, understanding workflows, and establishing patient care plans to support technical and clinical requirements. The auditor works to improve clinical outcomes by monitoring documentation accuracy and consistency, reducing risk, evaluating data, and collaborating with the manager of clinical outcomes to provide expertise in coding classifications. Qualifications / Job Requirements Education and Licensure Current unencumbered Vermont RN Licensure Homecare Coding Specialist- Diagnosis, or ability to obtain within one year from hire and...