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UnitedHealth Group seeks an Evaluation & Management Medical Coder to translate diagnoses and procedures into codes and perform coding audits. The role involves telephonic outreach to providers, with substantial focus on education and ensuring proper documentation and coding practices. The job includes full-time hours 8:00 AM - 4:00 PM CST, potential overtime, and virtual training from home. Telecommute availability is offered across the U.S., reflecting our flexible work model. #J-18808-Ljbffr

Optum360, part of UnitedHealth Group, is hiring a Certified Sr. (IP) Acute Edits Medical Coder to work remotely from anywhere in the U.S. You'll correct CCI, MUE, and Medical Necessity edits and ensure coding accuracy based on policies and documentation. The role is full-time, Monday–Friday, 8:00am–5:00pm with potential overtime. You will identify ICD-10-CM/PCS codes for inpatient and CPT/ICD-10 for outpatient services, provide feedback to physicians, and stay current with coding guidelines. #J-18808-Ljbffr

UnitedHealth Group is seeking a full-time inpatient coder to work remotely from anywhere in the U.S. You will identify ICD-10 CM/PCS assignments and DRG abstraction for facility services, following official coding guidelines and client-specific rules. Required: AHIMA and/or AAPC credentialing, 3+ years of inpatient DRG coding in acute care, and proficiency with ICD-10-CM/PCS and encoder-based DRG coding, plus solid Excel/EMR skills. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Associate degree. In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. Would consider a new AHIMA credential eligible graduate. Microsoft Office experience, EHR and Encoder experience preferred. RHIA, RHIT or CCS certification required. #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled outpatient Interventional Radiology coder to work remotely across the U.S. You will assign CPT/ICD-10 codes for outpatient IR services and ensure compliance with AAPC/AHIMA guidelines. Maintain high-quality productivity, provide feedback to providers, and stay current with coding updates. The role requires 2+ years in outpatient IR coding, ICD-10 proficiency, and AHIMA/AAPC certification. #J-18808-Ljbffr

CVS Health is hiring a Certified Coding Analyst in Boise, ID to review medical records and ensure compliant coding practices. You will audit CPT/HCPCS data, apply CMS guidelines, and discuss findings with Medical Directors as needed. Ideal candidates have 2+ years of medical coding experience, CPC certification, and strong attention to detail. The role emphasizes accurate documentation, collaboration with internal teams, and adherence to federal/state policies. #J-18808-Ljbffr

UnitedHealth Group seeks an Evaluation & Management Medical Coder to translate diagnoses and procedures into codes and perform coding audits. The role involves telephonic outreach to providers, with substantial focus on education and ensuring proper documentation and coding practices. The job includes full-time hours 8:00 AM - 4:00 PM CST, potential overtime, and virtual training from home. Telecommute availability is offered across the U.S., reflecting our flexible work model. #J-18808-Ljbffr

Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding with continuous quality improvement when indicated. The coder ensures that accurate and complete coding is performed so it can be used for measuring and reporting physician and hospital outcomes. The coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Associate degree. In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. Would consider a new AHIMA credential eligible graduate. Microsoft Office experience, EHR and Encoder experience preferred. RHIA, RHIT or CCS certification required. #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled outpatient Interventional Radiology coder to work remotely across the U.S. You will assign CPT/ICD-10 codes for outpatient IR services and ensure compliance with AAPC/AHIMA guidelines. Maintain high-quality productivity, provide feedback to providers, and stay current with coding updates. The role requires 2+ years in outpatient IR coding, ICD-10 proficiency, and AHIMA/AAPC certification. #J-18808-Ljbffr

UnitedHealth Group is seeking an SDS/Observations Medical Coder to join our national remote team. This full-time role focuses on outpatient Ambulatory Observation coding using CPT/ICD-10 with compliance to AHIMA/AAPC standards. You will correct CCI/medically necessary edits, understand APCs, and collaborate with providers to obtain documentation. The role requires 2+ years of experience, Excel proficiency, and EMR access. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to correct CCIs, MUE edits, and medical necessity edits, while handling three-day rule combinations and other queues. This remote role supports Allina Health in ensuring accurate inpatient coding. You will query physicians for documentation and assign MS-DRG/APR-DRG, with a focus on compliance and data integrity, leveraging strong coding knowledge. #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled medical coder with CPT and ICD-10 experience to review provider inquiries and perform code reviews for both professional and facility claims. You will abstract and code diagnoses and procedures from medical records, ensure accuracy, and perform audits to maintain compliance. This role offers full-time hours and remote work options across the U.S. #J-18808-Ljbffr

ISHE is seeking experienced Certified Medical Coders for a remote, contract position with potential for permanent employment based on performance. Candidates must hold AHIMA CCS or AAPC CIC and demonstrate expertise in ICD-10-CM/PCS and DRG assignment. The role requires reviewing inpatient records and collaborating with care teams while maintaining high quality and compliance. Position is 100% remote with short- to long-term contract options and competitive compensation based on experience. #J-18808-Ljbffr

UnitedHealth Group is seeking a professional medical coder to assign accurate diagnostic and procedure codes for palliative care services. You will ensure timely charging and coding, monitor work queues, and generate queries when documentation needs clarification. The role requires ICD-10/CPT coding experience in palliative care, and professional certification from AHIMA or AAPC. A telecommuting option within the U.S. is offered along with a comprehensive benefits package. #J-18808-Ljbffr

UnitedHealth Group is seeking a professional medical coder to assign accurate diagnostic and procedure codes for palliative care services. You will ensure timely charging and coding, monitor work queues, and generate queries when documentation needs clarification. The role requires ICD-10/CPT coding experience in palliative care, and professional certification from AHIMA or AAPC. A telecommuting option within the U.S. is offered along with a comprehensive benefits package. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. You will audit CPT/HCPCS, ICD-10 and UB04 data, ensure documentation aligns with coding guidelines, and communicate findings to investigators and regulators. The role requires 3+ years of medical coding or documentation auditing, CPC certification, and proficiency with Excel and Word. This is a full-time, on-site position with a strong benefits package. #J-18808-Ljbffr

UnitedHealth Group seeks an experienced Outpatient Medical Coder Edits to accurately assign CPT and ICD-10 codes for same day surgeries, observations, and complex cases. This remote role supports US facilities and reports to the Coding Operations Manager or Quality Management. Ideal candidates will have 2+ years of outpatient facility coding, AHIMA/AAPC credentials, and proficiency with CPT/ICD-10 coding, EMR systems, and coding policies to ensure compliant documentation and timely feedback to #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled medical coder with CPT and ICD-10 experience to review provider inquiries and perform code reviews for both professional and facility claims. You will abstract and code diagnoses and procedures from medical records, ensure accuracy, and perform audits to maintain compliance. This role offers full-time hours and remote work options across the U.S. #J-18808-Ljbffr

The Department of the Auditor General (DAG) seeks a Liquor Store Examiner 1 to audit PLCB operations across Pennsylvania, ensuring compliance with laws and standards. The role involves researching regulations, analyzing store records, and managing audit data in a regulated environment. Full-time position located in the Southeast region; telework from approved PA locations is required or optional on-site work. #J-18808-Ljbffr