Medical Coder – Chennai, Tamil Nadu, India
Requisition Number: 2323615
Category: Medical & Clinical Operations
Location: Chennai, Tamil Nadu, India
Optum, a global leader in healthcare technology and operations, is seeking experienced Medical Coders to support high-quality clinical documentation and coding accuracy. This role offers the opportunity to contribute directly to improved patient outcomes by ensuring accurate and compliant coding across multiple clinical settings. Join a culture rooted in inclusion, collaboration, continuous learning, and professional growth.
Job Summary
As a Medical Coder, you will verify, abstract, and assign accurate medical codes across multispecialty outpatient clinics, urgent care centres, and inpatient settings. You will ensure compliance with AMA, AHA, CMS, HIPAA, and organizational guidelines while maintaining high productivity and quality benchmarks.
This position requires strong analytical skills, deep understanding of medical coding guidelines, and the ability to collaborate effectively within a large team environment.
Key Responsibilities
Review, verify, and abstract information from medical records to assign appropriate ICD-10-CM, CPT, and HCPCS codes across multispecialty outpatient, urgent care, and inpatient settings.
Maintain a coding productivity standard of 12 charts per hour while meeting quality and compliance requirements.
Implement and apply updates from AMA, AHA, and CMS coding guidelines.
Determine Evaluation & Management (E/M) levels (99202–99215) based on MDM and correctly append modifiers as per CPT and NCCI guidelines.
Analyze medical documentation and accurately assign/modify CPT codes for minor procedures, vaccinations, screenings, and diagnostic services.
Validate NCCI edits, LCD/NCD guidelines, and update diagnosis/procedure codes accordingly.
Extract and code screening CPT codes and PQRS codes based on clinical documentation.
Prioritize and organize workflow to ensure timely resolution of coding edits and compliance with regulatory requirements.
Maintain confidentiality and adhere to HIPAA and organizational data security protocols.
Contribute to team development by sharing insights and supporting quality and productivity improvements.
Follow all company policies, business directives, and employment terms, including work shift flexibility and team reassignment if required.
Required Qualifications
Experience Required: Minimum 1+ years of experience in multispecialty Evaluation & Management (E/M) medical coding.
Education: Bachelor’s degree in Life Sciences or Allied Health disciplines.
Certification: Valid AAPC or AHIMA medical coding certification.
Technical Expertise:
Hands-on experience in multispecialty E/M coding including Internal Medicine, Family Medicine, Urgent Care, Dermatology, Gastroenterology, Cardiology, and ENT.
Strong knowledge of medical terminology, anatomy, and physiology.
Proficient in ICD-10-CM, CPT, and HCPCS coding guidelines.
Skilled in identifying and resolving coding inconsistencies and documentation gaps.
Why Join Optum?
Work in a global, technology-enabled healthcare organization.
Contribute to meaningful clinical and operational outcomes.
Access to continuous learning, development programs, and growth opportunities.
Collaborative, inclusive work environment supporting career advancement.
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