Job Title: Subject Matter Expert
Requisition Number: 2305987
Job Category: Medical & Clinical Operations
Location: Chennai, Tamil Nadu, India
About Optum
Optum is a global organization that leverages technology to deliver care and help millions live healthier lives. The work you do will directly improve health outcomes by connecting people with the right care, pharmacy benefits, data, and resources.
We offer:
Inclusive, collaborative culture
Talented peers and strong teamwork
Comprehensive benefits
Career growth and development opportunities
Our Mission: Caring. Connecting. Growing together.
Primary Responsibilities
Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient services in hospital settings, ensuring compliance with official and client-specific guidelines.
Understand DRG assignment and the impact of CC/MCC.
Abstract additional data elements during chart review as needed.
Adhere to ethical coding standards set by AAPC and/or AHIMA.
Maintain productivity of 1.5–2.5 charts per hour while meeting quality standards.
Stay updated with AHA guideline changes and apply them consistently.
Provide documentation feedback to providers and query physicians when required.
Keep coding knowledge current through materials shared by Quality and Coding leadership.
Participate in coding department meetings and training events.
Track and maintain records of coded, held, and missing charts.
Collaborate with team members to improve productivity and quality.
Organize and prioritize work to ensure timely coding and resolution of edits per compliance requirements.
Maintain confidentiality and comply with HIPAA policies and data security standards.
Adhere to company policies, procedures, and directives including reassignments, work shifts, and flexible arrangements based on business needs.
Required Qualifications
Education: Graduate in Life Sciences or Allied Medicine
Certification: AAPC or AHIMA certification (CIC preferred)
Experience:
5+ years in Acute Care Inpatient medical coding (hospital/facility)
Exposure to Level I trauma centers and/or teaching hospitals
Expertise with complex cases: major trauma ER, cardiac catheterization, interventional radiology, orthopedic, neurology, and observation coding
Technical Skills: Proficiency in ICD-10 (CM & PCS) and DRG coding
Knowledge of system security and compliance policies
Commitment to Diversity & Equity
At UnitedHealth Group, we believe everyone deserves access to better health, regardless of race, gender, sexuality, age, location, or income. We are committed to:
Reducing health disparities
Delivering equitable care
Supporting historically marginalized groups
Minimizing environmental impact while improving health outcomes
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Pondicherry (Puducherry) |Punjab :
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Annamalainagar | Chennai | Coimbatore | Erode | Madurai | Nagercoil | Ooty | Pudupakkam | Srivilliputtur | Tiruchirappalli | Trichy | Vellore | Yogyakarta |Uttar Pradesh :
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Frank Scottile Blvd |LA :
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Bangor | Brewer |Maryland :
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Andover | Billerica | Boston | Cambridge | Devens | Lexington | Massachusetts | Medford and Somerville | Rockland |Michigan :
Detroit | Houghton Lake | Macomb | Southfield |Minnesota :
Duluth | Eden Prairie | Fridley | Hibbing | Maple Grove | Minneapolis and St. Paul, Minnesota. | Minnetonka | St.Paul |Missouri :
Fulton | Milan | St. Louis |Nebraska :
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Rostock |Munich :
Bavaria |North Rhine Westphalia :
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China | Quarry Bay |Hubei :
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Hangzhou |Melbourne :
South Yarra |New South Wales :
Ballina | Sydney |Queensland :
Queensland |Remote Australia :
Arkansas | Remote Australia |Republic of Western Australia :
Nedlands |Capital of Netherland :
Amsterdam |Netherlands :
Netherlands |Noord Holland :
Haarlem |North Brabant :
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Harrogate |Oxfordshire :
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Sheffield |United Kingdom :
England | Harlow | Leeds | London | Maidenhead | Salt Lake City | Stevenage | Stirling | United Kingdom |Buenos Aires :
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Vienna |Antwerp :
Heist op den Berg |Brussels :
Brussels |Flemish Brabant :
Zaventem |Bosnia and Herzegovina :
Sarajevo |Sofia City :
Sofia |Canada :
Canada |Ontario :
Australia | Richmond Hill | Renfrew | Mississauga | North York | Uxbridge |Quebec :
Montreal |Chile :
Santiago |Republic of Colombia :
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Croatia |Zagreb :
Zagreb |Bohemia :
Prague |Republic of Egypt :
Cairo |Estonia :
Tartu | Estonia |Harju County (Maakond) :
Tallinn |Chuuk :
North Ostrobothnia :
Oulu |Southwest Finland (Varsinais-Suomi) :
Turku |France :
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Athens | Koropi |Greece :
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Surabaya |Jakarta :
Jakarta |Israel :
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Italy |Lombardy :
Rho |Japan :
Saitama | Japan |Tokyo :
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Almaty |Remote Korea :
Remote Korea |Republic of Korea :
Seoul |Kuala Lumpur :
Kuala Lumpur |Mexico :
Ciudad de México |New Zealand :
New Zealand |North Island :
Auckland |Lima Region :
Lima |Cebu Province :
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Warsaw |Remote :
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Bucharest |Makkah :
Najran | King Abdullah Economic City | Khulais | Rabigh | Jeddah | Riyadh |Nišava District :
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Singapore |South Africa :
Midrand | South Africa |Brazil :
Sao paulo | Brazil |South America :
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Barcelona |Madrid :
Madrid |Sweden :
Sweden |Taipei :
Taipei |Williamson :
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Bangkok |Kyiv Oblast :
Kyiv |Dubai :
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Hanoi | Hà Nội |Ho Chi Minh :
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