Job Title: Subject Matter Expert
Requisition Number: 2284418
Job Category: Medical & Clinical Operations
Primary Location: Chennai, Tamil Nadu, IN
Company Overview
Optum is a global healthcare organization that delivers care supported by technology, helping millions of people live healthier lives. The team at Optum is committed to advancing health equity and improving health outcomes by connecting people to the resources and care they need. Optum offers career development opportunities and a culture built on diversity and inclusion.
Role Summary
The Subject Matter Expert will be responsible for accurate coding of professional services from medical records in a hospital or clinic setting. This includes the assignment of ICD-10-CM and ICD-10-PCS codes, ensuring adherence to official coding guidelines. The role involves reviewing medical charts, maintaining up-to-date coding knowledge, and working within a team to ensure coding quality and productivity.
Key Responsibilities
Assign ICD-10-CM and ICD-10-PCS codes for inpatient services in a hospital setting.
Ensure adherence to coding guidelines, including DRG with reference to CC/MCC.
Abstract additional data elements during the chart review process.
Provide documentation feedback to providers and query physicians as needed.
Maintain up-to-date knowledge of coding guidelines and participate in coding educational events.
Organize and prioritize work to meet regulatory and client coding guidelines.
Adhere to confidentiality and HIPAA policies for patient records.
Participate in team activities and contribute to improving team quality and productivity.
Required Qualifications
Life Science or Allied Medicine degree.
Certification from AAPC or AHIMA (CIC preferred).
4+ years of acute care inpatient medical coding experience, including experience in trauma centers and teaching hospitals.
Expertise in ICD-10-CM, ICD-10-PCS, and DRG coding.
Additional Information
Optum is committed to improving health outcomes and mitigating health disparities, particularly those faced by marginalized groups and communities with lower incomes. The company offers comprehensive benefits, career development opportunities, and a diverse work environment.
How to Apply
Interested candidates can apply through the Optum platform or follow the instructions on the company’s job application portal.
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