Associate Medical Coder

Optum India; Chennai District; On-site; INR 400,000 - 600,000; Full time

Job summary

Optum India is seeking a qualified Medical Coder to join our team in Chennai. You will code inpatient and outpatient records using ICD-10 and CPT, adhere to HIPAA, and ensure data quality and timely delivery. Strong English communication and understanding of medical terminology are essential.

The role emphasizes accuracy, compliance, and collaboration with clinical staff to support accurate health records and billing processes.

Qualifications

• Graduate or Postgraduate in Life Sciences or Allied Medicine.
• Certified coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P.
• Knowledge of medical terminology and anatomy/ physiology.
• Understanding of medications and dosages.
• Strong English communication.

Responsibilities

• Coding the medical record using ICD-10 and CPT with desired accuracy per SLA.
• Adhere to HIPAA regulations.
• Identify and query discrepancies in medical data.
• Meet quality and productivity standards and deadlines.
• Report discharge disposition per CMS rules.
• Apply CPT rules for outpatient coding per AMA guidelines.
• Assign discharge physician in the system.
• Maintain data standards as per KRAs/ client SLAs.
• Comply with employment terms and company policies.

Skills

Medical coding

HIPAA compliance

English communication

Attention to detail

Education

Graduate or Postgraduate in Life Sciences or Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities

• Coding the medical record using the ICD-10 and CPT with desired accuracy as per SLA
• Know and adhere to HIPAA regulations
• Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisor
• Meet quality and productivity standards and deadlines/turnaround times
• Reports a discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations
• For outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets
• Assigns appropriate discharge physician in the system
• Maintains the minimum data standards for accuracy and productivity as per defined KRAs/ Client SLAs
• 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 or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
• Certified coder - AAPC / AHIMA - CCS/CPC/CPC-H/CCS-P
• Knowledge of medical terminology, human anatomy/ physiology, pathophysiology
• Understanding of interpreting the medications and dosages
• Proven good in English communication

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves 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.