Senior Medical Coder – Surgery (Noida, Uttar Pradesh, India)
Company: Optum (UnitedHealth Group)
Category: Medical & Clinical Operations
Experience Required: 4+ years in multispecialty surgical coding
Work Mode: On-site (Noida, Uttar Pradesh, IN)
Employment Type: Full-time
Compensation / Salary: Not disclosed in the job description
Job Summary
Optum is seeking a Senior Medical Coder – Surgery with deep expertise in professional fee surgical coding across multispecialty outpatient surgery centers and hospitals. You will analyze operative notes, assign ICD‑10‑CM, CPT, HCPCS Level II codes and appropriate modifiers, and ensure compliance with ICD‑10‑CM Official Guidelines, CPT guidelines, CMS updates, AHA Coding Clinic, NCCI edits, LCD/NCD coverage determinations, and client coding policies. This role is ideal for AAPC/AHIMA certified coders with 4+ years of hands-on surgical coding experience (Orthopedics, Dermatology, Gastroenterology, Cardiology, ENT/Otolaryngology, Eye, OBGYN, etc.) who consistently meet quality and productivity benchmarks (4–6 charts/hour).
Key Responsibilities
Verify, abstract, and accurately code professional surgical services using ICD‑10‑CM, CPT & HCPCS Level II with correct modifiers.
Maintain ≥95% coding quality and 4–6 charts/hour productivity standards.
Track, interpret, and implement the latest AMA, AHA, and CMS guideline updates.
Validate NCCI edits, LCD/NCD coverage and update ICD‑10‑CM/CPT/modifiers accordingly.
Organize and prioritize work to resolve edits within regulatory & client TAT.
Uphold HIPAA compliance, confidentiality, and data security standards.
Partner with large teams to drive quality and productivity improvements.
Participate in coding meetings, audits, education conferences, and continuous upskilling.
Adhere to company policies, including potential shift/location/team changes driven by business needs.
Required Skills & Qualifications
Bachelor’s degree – Life Sciences or Allied Medicine preferred.
Mandatory certification: AAPC or AHIMA (e.g., CPC, CCS, CIC, COC).
4+ years of multispecialty surgical coding (Orthopedics, Dermatology, Gastroenterology, Cardiology, ENT, Eye, OBGYN, etc.).
Mastery of ICD‑10‑CM, CPT, HCPCS, Modifiers, and payer-specific rules.
Strong knowledge of NCCI edits, LCD/NCDs, CMS policies, AHA Coding Clinic, CPT Assistant.
Solid grounding in medical terminology, human anatomy & physiology.
Proven ability to hit quality/productivity metrics and manage deadlines.
Excellent collaboration, communication, and documentation skills.
Commitment to continuous education and adherence to HIPAA/security protocols.
Perks & Benefits*
Comprehensive health & wellness benefits.
Career development, certification support, and continuous training.
Inclusive, mission-driven culture focused on health equity & outcomes.
Access to advanced healthcare technology, analytics, and coding tools.
*Exact salary/benefits not specified in the JD.
Company Description
Optum, part of UnitedHealth Group, is a global healthcare leader that blends technology, data, and clinical expertise to optimize health outcomes. Optum’s coding and clinical operations teams ensure accurate reimbursement, compliance, and data integrity to help the health system work better for everyone.
Work Mode: On-site – Noida, Uttar Pradesh, India
Call-to-Action
Experienced in multispecialty surgical coding with AAPC/AHIMA certification and a passion for accuracy and compliance? Apply now to join Optum as a Senior Medical Coder – Surgery in Noida and advance your healthcare coding career with a global leader.
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