Medical Coding Analyst @ Optum

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start  Caring. Connecting. Growing together.

   Primary Responsibilities

 

Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines

Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation

Be able to extract and code various screening CPT codes and HCPCS codes from the documentation

Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly

Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity

Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines

Adherence with confidentiality and maintains security of systems

Compliance with HIPAA policies and procedures for confidentiality of all patient records

Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so#NTRQ

 Required Qualifications

 

Graduate

Certified coder through AAPC or AHIMA

Certifications accepted include CPC, CCS, CIC and COC - Anyone

Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process

Sound knowledge in Medical Terminology, Human Anatomy and Physiology

Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems

Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines

Proficient in ICD-10-CM, CPT, and HCPCS guidelines

Job Classification

Industry: Retail
Functional Area / Department: Healthcare & Life Sciences
Role Category: Health Informatics
Role: Medical Biller / Coder
Employement Type: Full time

Contact Details:

Company: Optum
Location(s): Noida, Gurugram

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Keyskills:   icd human anatomy cpt physiology hcpcs anatomy hipaa us healthcare ip drg cms ems ccs cpc medical billing rcm ed cpt coding hcc coding medical coding er coding coc mdm pharmacy medical records cic icd-10-cm revenue cycle management