Job Summary
Optum, a global leader in healthcare services, is hiring an SME – Medical Coding professional in Chennai, Tamil Nadu. The ideal candidate will have extensive expertise in ICD-10-CM, ICD-10-PCS, DRG coding, and complex inpatient coding scenarios in hospital settings. This role demands strong attention to detail, adherence to AAPC/AHIMA guidelines, and the ability to ensure accurate coding for optimal healthcare outcomes.
Key Responsibilities
Assign accurate ICD-10-CM and ICD-10-PCS codes for inpatient services in hospitals.
Ensure proper DRG assignment considering CC/MCC and official coding guidelines.
Abstract additional data elements during chart review as needed.
Provide documentation feedback and query physicians when necessary.
Track and implement updates from AHA guidelines.
Maintain coding accuracy by reviewing quality manager materials.
Participate in coding meetings and educational initiatives.
Organize and prioritize coding tasks to meet compliance and turnaround times.
Adhere to HIPAA, data security, and confidentiality policies.
Collaborate with team members to improve quality and productivity.
Required Skills & Qualifications
Graduate in Life Sciences or Allied Medicine.
Certification from AAPC or AHIMA (CIC preferred).
5+ years of acute care inpatient medical coding experience.
Experience in Level I trauma centers or teaching hospitals.
Proficiency in ICD-10-CM, ICD-10-PCS, and DRG coding.
Familiarity with complex cases such as trauma, cardiac catheterization, orthopedic, and neurology cases.
Strong understanding of coding compliance standards and GVP guidelines.
Perks & Benefits
Competitive salary and performance-based incentives (specific salary range not mentioned).
Comprehensive healthcare benefits.
Career development and training programs.
Inclusive and diverse work culture.
Opportunity to work with a leading global healthcare organization.
Company Description
Optum, part of UnitedHealth Group, is a global healthcare services leader, combining technology, data, and healthcare expertise to improve patient outcomes. With a mission to help people live healthier lives, Optum provides innovative solutions in medical coding, clinical operations, pharmacy benefits, and healthcare analytics.
Work Mode: On-site – Chennai, Tamil Nadu, India
Call-to-Action
If you are an experienced medical coding professional with strong ICD-10 and DRG expertise, join Optum’s team in Chennai and make a global impact on healthcare. Apply now to advance your career with Optum!
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