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Medical Coding Analyst @ Optum

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 Medical Coding Analyst

Job Description

Primary Responsibilities:
  • Roles and Responsibilities post training:
    • Coding the medical record using the ICD-10 and PCS with desired accuracy as per SLA
    • Know and adhere to HIPAA regulations
    • Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisor
    • Meet quality and productivity standards and deadlines/turnaround times
    • Reports a discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations
    • For inpatient encounters, applies coding conventions and official coding guidelines approved by the American Hospital Association (AHA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets
    • Maintains the minimum data standards for accuracy and productivity as per defined KRAs/ Client SLAs
  • 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
Required Qualifications:
  • Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
  • Certified coder - AAPC or AHIMA - CCS or CPC or CPC-H or CCS-P
  • 1+ years of experience in Acute Surgery or ED coding
  • Proficient in Human Anatomy, Medical Terminology and Diagnosis coding
  • Proven good in English communication
  • Proven high analytical skills
  • Proven willingness and eager to learn and grow

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): Chennai

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Keyskills:   medical coding pcs medical data standards inpatient pharmacist cms sla analytical skills outpatient employment contract cpc life sciences hospital

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Optum

About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...