Job Title: Medical Coder – MCC
Location: Chennai, Tamil Nadu, India
Work Mode: Full-time | Work from Office
Job Summary:
Optum is hiring a Medical Coder – MCC to support Medicare and Medicaid Risk Adjustment programs. The selected candidate will validate and review medical records, ensuring accurate ICD-10-CM coding aligned with CMS HCC guidelines. If you have a background in HCC coding and are certified through AAPC or AHIMA, this is a great opportunity to contribute to healthcare improvement while advancing your coding career.
Primary Responsibilities:
Review medical records to confirm chronic condition documentation and validate HCC diagnoses.
Ensure ICD-10-CM coding is accurate, compliant with CMS Risk Adjustment guidelines, and meets established standards.
Interpret medical documentation to identify relevant diagnoses for Medicare reimbursement.
Apply knowledge of anatomy, physiology, and clinical terminology to support accurate code assignment.
Evaluate documentation for accuracy, completeness, specificity, and code appropriateness.
Identify and resolve issues that could affect HCC capture and overall coding accuracy.
Consistently meet defined productivity and quality metrics as per client SLAs.
Support internal teams and supervisors with coding-related tasks as needed.
Adhere to company policies, including potential team changes, work shifts, and work locations.
Required Qualifications:
Graduate in any discipline; medical, paramedical, or life sciences preferred.
AAPC/AHIMA certification is mandatory. Preferred: CRC; Other acceptable: CPC, CIC, COC, or AHIMA-CCS.
Minimum 1 year of medical coding experience required.
Prior HCC coding experience preferred; candidates from other coding backgrounds may be considered with adequate ICD-10-CM and CMS guideline proficiency.
Strong understanding of anatomy, physiology, and medical terminology.
Estimated Salary: ₹3.6 LPA – ₹5.5 LPA
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