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Medical Coding Analyst @ Optum

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 Medical Coding Analyst

Job Description

Primary Responsibilities:
  • Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines
  • Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation
  • Be able to extract and code various screening CPT codes and HCPCS codes from the documentation
  • Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly
  • Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity
  • Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines
  • Adherence with confidentiality and maintains security of systems
  • Compliance with HIPAA policies and procedures for confidentiality of all patient records
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

    • Required Qualifications:
  • Graduate
  • Certified coder through AAPC or AHIMA
  • Certifications accepted include CPC, CCS, CIC and COC Anyone
  • Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process
  • Fresher & 7+ months of experience in Medical coding
  • Sound knowledge in Medical Terminology, Human Anatomy and Physiology
  • Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems
  • Proficient in ICD-10-CM, CPT, and HCPCS guidelines
    • At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

    Job Classification

    Industry: Retail
    Functional Area / Department: Healthcare & Life Sciences
    Role Category: Health Informatics
    Role: Medical Biller / Coder
    Employement Type: Freshers

    Contact Details:

    Company: Optum
    Location(s): Chennai

    + View Contact

    Keyskills:   icd human anatomy cpt physiology hcpcs anatomy hipaa us healthcare ip drg cms ccs cpc medical billing rcm ed cpt coding hcc coding claims adjudication medical coding er coding clinical research coc pharmacy medical records cic icd-10-cm

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    ₹ Not Disclosed

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    Optum

    About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...

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