Job Title: Medical Coding Analyst
Company: Optum / UnitedHealth Group
Location: Hyderabad, Telangana, India
Job Category: Medical & Clinical Operations
Company Overview
Optum is a global healthcare organization that leverages technology to improve health outcomes. The company connects people with care, pharmacy benefits, data, and resources to help them live healthier lives. Optum emphasizes inclusion, career growth, and opportunities to make a global impact.
Job Summary
The Medical Coding Analyst is responsible for reviewing medical records, applying appropriate CPT, ICD-10-CM, and HCPCS codes, and ensuring compliance with AMA, AHA, and CMS guidelines. This role supports regulatory and client requirements, maintaining high accuracy and confidentiality of patient records.
Primary Responsibilities
Implement updates from AMA, AHA, and CMS guidelines.
Review and analyze medical records; add or modify CPT codes for minor surgical procedures, vaccines, and laboratory procedures.
Extract and code screening CPT codes and HCPCS codes accurately.
Check NCCI edits, LCD & NCD coverage determinations, and modify ICD-10-CM codes, CPT codes, and modifiers as needed.
Work collaboratively in a large team, contributing to quality and productivity improvements.
Organize and prioritize work to ensure coding and edits are completed within compliance timelines.
Maintain confidentiality and adhere to HIPAA policies for patient record security.
Comply with company policies regarding flexibility, team assignments, work shifts, and data security protocols.
Required Qualifications
Education: Graduate in Life Sciences.
Certification: Certified coder through AAPC or AHIMA (CPC, CCS, CIC, or COC). Proof of certification required during interview/offer process.
Experience: 0.6 – 5 years in medical coding (Freshers considered).
Knowledge & Skills:
Medical terminology, human anatomy, and physiology.
ICD-10-CM, CPT, and HCPCS coding guidelines.
Understanding of system security policies and data protection.
Ability to work independently and in a team environment.
Company Mission & Values
UnitedHealth Group aims to help people live healthier lives and improve the healthcare system for all. The company emphasizes:
Equity in healthcare access and addressing health disparities.
Environmental responsibility.
Inclusion and diversity in the workforce, ensuring equal opportunities for all employees regardless of race, gender, age, or income.
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China | Quarry Bay |Hubei :
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Brussels |Flemish Brabant :
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Canada |Ontario :
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