Medical Coder – IP DRG
Company: Optum (UnitedHealth Group)
Job Title: Medical Coder – IP DRG
Location: Noida, Uttar Pradesh (Additional location: Chennai)
Job Category: Medical & Clinical Operations
Experience Required: 1+ Years
Employment Type: Full-time
Job Summary
Optum is hiring a Medical Coder – IP DRG responsible for accurate inpatient medical coding, chart review, DRG assignment, and compliance with coding guidelines. The role involves assigning ICD-10-CM, ICD-10-PCS, and DRG codes for hospital inpatient cases while maintaining productivity and quality standards.
Key Responsibilities
Assign accurate ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient hospital cases.
Analyze medical records and determine appropriate diagnoses, procedures, and modifiers.
Understand DRG impact, including CC/MCC classifications.
Perform chart abstraction and review additional required clinical data.
Follow official coding standards:
ICD-10-CM Official Guidelines
ICD-10-PCS Guidelines
AHA Coding Clinic updates
Client coding guidelines
Maintain coding productivity of 1.5–2.5 charts per hour while meeting quality benchmarks.
Track and implement coding updates and regulatory changes.
Query physicians/providers for documentation clarification when required.
Provide documentation feedback to improve coding accuracy.
Participate in coding meetings, training sessions, and educational programs.
Track coded, held, and pending charts effectively.
Ensure compliance with HIPAA confidentiality and data security policies.
Organize and prioritize workload to meet turnaround timelines.
Collaborate with team members to improve productivity and quality.
Required Qualifications
1+ years of multispecialty IP DRG coding experience
1+ years of acute care inpatient medical coding experience
Strong experience with:
ICD-10-CM
ICD-10-PCS
DRG Coding
Eligible profiles:
E/M IP Coders
Surgery Coders
(Cross-training to IP team available)
Preferred Qualifications
Experience working in:
Level I Trauma Centers
Teaching Hospitals
Experience handling complex cases such as:
Major trauma ER cases
Cardiac catheterization
Interventional radiology
Orthopedic procedures
Neurology cases
Observation coding
Uttar Pradesh :
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