Medical Coder – MCC (HCC / ICD‑10) – Optum, Chennai
Job Summary (Pharma/Healthcare focused)
Optum is seeking a Medical Coder – MCC to perform accurate and timely HCC (Hierarchical Condition Categories) and ICD‑10‑CM coding for chronic medical conditions under Medicare & Medicaid Risk Adjustment programs. If you are AAPC/AHIMA certified (CRC preferred) with 1+ year of medical coding experience and strong command over anatomy, physiology, and CMS risk adjustment guidelines, this on-site role in Chennai is for you.
Key Responsibilities
Review medical records to validate plan of care for chronic conditions and assign accurate ICD‑10‑CM codes.
Perform HCC/Risk Adjustment coding validation to meet CMS guidelines and internal quality standards.
Ensure accuracy, completeness, specificity, and appropriateness of diagnosis coding for reimbursement.
Analyze documentation to capture all relevant conditions applicable to Medicare Risk Adjustment initiatives.
Meet defined production and quality targets as per client SLAs.
Apply a strong understanding of anatomy, physiology, and medical terminology to interpret and code clinical documentation.
Support project teams by completing chart reviews in alignment with Medicare & Medicaid criteria.
Adhere to company policies, coding compliance standards, and HIPAA.
Required Skills & Qualifications
Any graduate; Life Sciences/Medical/Paramedical graduates preferred.
AAPC/AHIMA certification is mandatory (CRC highly preferred; CPC/CIC/COC/CCS also considered).
1+ year of medical coding experience (HCC coding preferred; other coding backgrounds considered if strong ICD‑10‑CM and risk adjustment competence is demonstrated).
Strong knowledge of ICD‑10‑CM, CMS HCC models, risk adjustment guidelines, anatomy, physiology, and medical terminology.
High attention to detail, analytical ability, and commitment to coding quality and compliance.
(MedDRA, GVP, ICH-GCP, PV case processing, PV software, etc., are not applicable to this pure medical coding/risk adjustment role.)
Perks & Benefits (as typically offered by Optum / UHG – not specified in JD)
Competitive salary and performance-based incentives (not disclosed in JD)
Health and wellness benefits
Career growth in a global healthcare leader
Continuous learning and certification support
Company Description (SEO-rich, healthcare-focused)
Optum, part of UnitedHealth Group, is a global leader in healthcare technology, analytics, and operations, improving outcomes and optimizing healthcare delivery. With deep expertise in US healthcare, risk adjustment, and medical coding, Optum empowers healthcare organizations to deliver better care at scale.
Work Mode
On-site | Chennai, Tamil Nadu, India
Full-time | No travel
Call to Action
Advance your HCC/Risk Adjustment medical coding career with a market leader. Apply now on ThePharmaDaily.com and join Optum’s high-impact coding team in Chennai.
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