52 coding compliance analyst jobs found in San Diego, CA

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) Position in this function is responsible for participating in the implementation of the organization’s Coding Proficiency program.  Performs medical chart audits for Evaluation and Management and ICD-10 coding and documentation.  Interfaces and disseminates audit results to clinicians and management.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...

If you are located in Overland Park, Kansas, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. When WAH this function is responsible for accurate and timely follow-up of accounts receivables including researching, analyzing, and resolving unpaid specialty pharmacy medical claims. Positions in this function contact payers to determine reason for non-payment and take appropriate action to recover amounts due.  Responsible for developing, implementing, maintaining, and managing organization policies on collection practices. This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 7:30am – 5:30pm CST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 6860 West 115th St Suite 150 Overland Park, Kansas 66211. . Employees will be required to work some days onsite and some days from home. Our office...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing  your life’s best work.SM The  Senior Recovery/Resolution Analyst  will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. This position is a remote full-time position (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing  your life’s best work.SM The  Collections Representative  position is an Accounts Receivable function. To perform this job successfully, an individual must be able to perform each assigned essential duty satisfactorily. This position is expected to have excellent reasoning skills based on knowledge of clinic operations as it pertains to billing claims to Insurance Health Plans and coding for medical diagnosis and procedural coding. Individual...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Develop and improve quantitative data analytics and set performance targets Lead projects to completion by contributing to database creation, statistical modeling and financial reports Interpret and analyze clinical data from various sources and recommend best approaches Provide claims, premium, capitation and membership data in support of underwriting, Actuarial and various other departments Identify potential areas for medical cost improvements and alternative pricing strategies...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Set up plan structure and billing, eligibility collection and database loading Prepare materials such as plan documents and provider education aids Audit contract loads for adherence to quality measurers and reporting standards Work independently on complex requests and help team members solve complex problems Audit work of others to identify and process/coordinate correction of loading errors This high-impact position is challenging. You will be working with configuration analysis...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM The Associate Collections Representative  is responsible for all follow - up activities ensuring accurate reimbursement from third party, or resolution of all assigned accounts in a timely manner. In additional, this position assist and provides education to other staff when issues arise. This position is full - time. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM.  Training will be...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with findings and conclusions. Collaborate with other teams and stakeholders on variable projects as a Functional SME. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses.  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Performs data analytics in support of trend...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.   Primary Responsibilities: Interpret and analyze claims, capitation, membership data, and recommend best approaches in support of underwriting, actuarial and utilization analyses Lead projects to completion by contributing to database creation, statistical modeling and financial reports Create and update automated processes Performs complex data validation and conceptual analyses. Analyze reporting tools utilized by the internal customer groups Serves as subject matter expert to health plans...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing  your life's best work.(sm) Great account management is result of solid purpose, conviction, and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. The primary duty of the Account Manager, is to retain existing agent and broker groups through exceptional service in order to promote health care sales and market UnitedHealth Care products. The Account Manager focuses on the small business market segment, those customers employing up to 50 employees. This role will sit in one of the following locations: La Crosse, WI, Minnetonka, MN, Duluth, MN If you are located in...

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing  your life's best work.(sm)   OptumRx helps consumers obtain the medications and products they need to live healthier lives. OptumRx is a leading pharmacy benefit management (PBM) company managing the prescription drug benefit of commercial, Medicare and governmental health plans, as well as those of employers and unions.  The continuous growth and success of our organization has led to this search for a Senior Underwriter to join team.   This role will provide you with the opportunity to develop valuable skills and knowledge of the immensely complex and rewarding pharma industry.  You will grow and leverage your analytical, critical, and strategic thinking skills combined with...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Associate Director, Actuarial Business Liaison role is within UnitedHealthcare Medicare & Retirement, Insurance Solutions, and will provide support for membership and premium projections of AARP Medicare Supplement plans.  The role serves as the Actuarial business liaison for all membership and premium projections for the Medicare Supplement plans nationwide. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S., preferably in Horsham, PA, as you take on some tough challenges. Primary Responsibilities: Serve as the liaison and point of contact between the global data analytics team and...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform quantitative analysis of actuarial, financial, utilization and costs data to help leaders make decisions  Develop and implement methodologies and assumptions to estimate unpaid claim liabilities and other reserves Design and refine health insurance reserving tools Develop monthly unpaid claim liability estimates and related calculations  Assist the appointed actuary in the preparation of annual reserve certification filings Develop and implement monthly reserve reporting...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) Be part of this enterprise-wide claims transformation journey!!! The Strategic Claims Capability vision is to reimagine and simplify the end-to-end claim experience by providing a nimble and frictionless claim capability for all constituents, driving maximum affordability. The work will be challenging and rewarding! This position works in the details to advance the pre-processing product capabilities. This position will be pivotal in partnering with business and technology teams detailing features and providing feedback on user stories to ensure requirements are interpreted accurately. Projects within pre-processing arise from across the...