Subject Matter Expert – Inpatient Coding | Chennai, Tamil Nadu
Requisition Number: 2284418
Category: Medical & Clinical Operations
About the Role:
Optum, a part of UnitedHealth Group, is hiring a Subject Matter Expert (SME) for Inpatient Coding at its Chennai location. As a senior medical coder, you will play a critical role in ensuring accurate assignment of ICD-10-CM and ICD-10-PCS codes that directly impact DRG outcomes. If you bring extensive acute care coding experience, this is your opportunity to contribute to a global leader in health services.
Key Responsibilities:
Accurately assign ICD-10-CM and ICD-10-PCS codes for inpatient hospital services, with attention to DRG, CC/MCC identification per official and client coding guidelines.
Maintain coding productivity of 1.5–2.5 charts per hour while adhering to quality benchmarks.
Provide documentation feedback and query physicians when necessary for clarification.
Abstract additional data elements during chart review, contributing to thorough documentation.
Stay current with AHA guideline updates and disseminated resources from QM and operations managers.
Participate actively in departmental meetings and educational sessions to promote continuous learning.
Maintain a coding log to track charts coded, held, or pending.
Work collaboratively in large teams, sharing feedback for quality and productivity improvement.
Prioritize coding tasks to meet turnaround time requirements and client regulatory standards.
Comply with HIPAA regulations and internal policies for patient data confidentiality and system security.
Adapt to organizational changes including team transitions, location reassignment, or policy revisions.
Required Qualifications:
Graduate in Life Sciences or Allied Medical fields.
AAPC or AHIMA certified; CIC certification preferred.
Minimum 4 years of experience in Acute Care Inpatient coding.
Strong exposure to complex procedures from Level I trauma centers or teaching hospitals.
Skilled in coding major trauma ER encounters, interventional radiology, cardiac cath, orthopedic, neurology, and observation cases.
Proficient in ICD-10-CM, ICD-10-PCS, and DRG coding systems.
This role is ideal for experienced coders looking to elevate their expertise in a fast-paced, high-impact environment. As a Subject Matter Expert in inpatient coding, you will have the opportunity to contribute to scalable coding excellence and enhance care outcomes at a global level.
Salary: ₹6.5 LPA to ₹10 LPA (based on experience and certification)
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