Medical Coding Analyst – Chennai, Tamil Nadu
Company: Optum (UnitedHealth Group)
Requisition Number: 2331058
Job Category: Medical & Clinical Operations
Employment Type: Full-time | Day Shift | Onsite
Optum, a part of UnitedHealth Group, is a global healthcare leader using technology, data, and innovation to improve health outcomes. The organization focuses on connecting people with essential care, pharmacy benefits, and health resources, fostering an inclusive and growth-oriented work environment.
The Medical Coding Analyst will be responsible for accurate coding of medical records using ICD-10-CM/PCS, ensuring compliance with CMS, AHA, HIPAA, and client-specific guidelines. This role involves reviewing clinical documentation, identifying coding discrepancies, and maintaining high-quality standards as per service-level expectations.
Code medical records using ICD-10-CM and PCS with required accuracy as per SLAs.
Ensure adherence to HIPAA regulations and maintain confidentiality of patient data.
Apply coding conventions and official guidelines from AHA, CMS, and mandated code sets for both inpatient and outpatient encounters.
Report discharge disposition accurately according to CMS regulations.
Identify inconsistencies, discrepancies, or inaccuracies in medical documentation and escalate appropriately.
Meet productivity and quality benchmarks as defined in KRAs and client SLAs.
Maintain minimum data standards for accuracy and timely completion of assigned tasks.
Follow company policies, employment contract terms, and operational directives.
Adapt to changes in work locations, team assignments, or shifts based on business needs.
Participate in training and continuous learning initiatives to maintain coding proficiency.
Graduate or Postgraduate in any of the following:
Life Sciences
Allied Medicine (BHMS, BAMS, BPT, BDS)
Pharmacy
Nursing
One or more of the following coding certifications:
AAPC: CPC, CPC-H
AHIMA: CCS, CCS-P
Minimum 1 year of experience in Acute Surgery or Emergency Department (ED) medical coding.
Strong knowledge of human anatomy, medical terminology, and diagnosis coding.
Excellent English communication and high analytical skills.
Strong willingness to learn and grow in medical coding operations.
UnitedHealth Group is committed to advancing health equity, reducing disparities, and delivering accessible care across all communities. The organization fosters a diverse, inclusive culture that aligns with its mission of helping people live healthier lives.
Business Segment: Optum
Employee Status: Regular
Travel: No
Overtime Status: Exempt
Telecommuter Position: No
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