Subject Matter Expert – Surgery Coding (Fresher Eligible)
Location: Noida, Uttar Pradesh, India
Category: Medical & Clinical Operations
Company: Optum – A Global Healthcare & Technology Leader
Optum is a global healthcare organization committed to improving health outcomes through advanced technology, data-driven solutions and clinical excellence. As part of our growing medical coding team, you will contribute to strengthening coding accuracy, enhancing compliance and supporting high-quality healthcare delivery. This role offers an inclusive work environment, strong learning opportunities and a platform for continuous professional growth.
Job Overview
The Subject Matter Expert – Surgery Coding plays a key role in supporting coding professionals with accurate, compliant and up-to-date surgery coding practices. This position is designed for candidates looking to build a long-term career in medical coding, and freshers with required certifications are encouraged to apply.
Key Responsibilities
Develop and deliver training and knowledge updates for surgery coding teams, including CPT, ICD-10-CM, HCPCS and NCCI edits
Stay current with CMS, AMA and AHA coding guideline updates and communicate changes effectively
Prepare clear, accurate reports and maintain detailed documentation records
Track assessment scores, audit outcomes, code quality and provide constructive feedback
Participate in coding calibration meetings and contribute to coding review discussions
Assist coders with complex case resolution, documentation improvement and coding clarification
Collaborate with compliance, quality assurance and operations teams to identify coding gaps and drive process improvement
Adhere to organizational policies, workflow requirements, shift adjustments and operational guidelines as per evolving business needs
Required Qualifications
Bachelor’s degree in Health Information Management, Life Sciences or a related field (preferred)
AAPC/AHIMA certification (mandatory): CPC, CIC, CCS or COC
Freshers with valid certification can apply
Strong understanding of surgery coding guidelines, E/M changes and CMS documentation standards
Working knowledge of the US healthcare revenue cycle management system
Familiarity with EMR/EHR platforms and auditing tools
High level of accuracy, attention to detail and documentation consistency
Proficiency with common coding software and EHR systems such as EPIC, eCAC, 3M and Cerner
Core Skills
Strong foundation in medical terminology, anatomy and physiology
Excellent communication and presentation skills
Ability to collaborate across cross-functional teams
Andra Pradesh :
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