Medical coder or Quality Engineer

UnitedHealth Group; Dadri; On-site; Confidential; Full time

Job summary

UnitedHealth Group is seeking a QA professional to create and execute clinical and functional test cases for a medical claims processor platform. You will work with clinicians and analysts to ensure the product aligns with medical guidelines and US healthcare standards.

You will develop testing environments that mirror client setups, estimate tasks accurately, and ensure timely delivery while complying with company policies.

Qualifications

• Graduate degree or equivalent experience.
• Certified Medical coder.
• Expertise in US Healthcare system with medical coding experience.
• Knowledge of Quality Engineering best practices.
• Knowledge of Agile methodologies.
• Proven good analytical skills and client like testing mindset.
• Proven excellent verbal and written communication skills.

Responsibilities

• Create testing environments and execute clinical & functional test cases.
• Test new features to ensure functional and clinical viability.
• Test clinical rules to reflect medical guidelines.
• Ensure product is compliant with the US healthcare system.
• Collaborate with BAs and clinical experts to clarify requirements and coordinate with developers.
• Provide accurate estimates for tasks and timelines.
• Adhere to employment policies and team directives.

Skills

Analytical skills

Communication skills

Agile methodologies

Quality engineering

Testing mindset

US healthcare domain knowledge

Clinical testing

Education

Graduate degree or equivalent

Certified Medical coder

Tools

Rally

IntelliJ

GitHub

Oracle

SQL DB

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.

Role is responsible for creating and executing quality test cases to validate the clinical and functional integrity of web-based software application, work closely with software developers, business analysts and clinical coding experts to ensure the team delivers high quality product within the expected delivery window. Person should be capable of identifying the defects early during the software development lifecycle.

Job Description:

This position will be responsible for creating and executing clinical & functional test cases for a software product which works as a claim processor/claim scrubber/Clinical Rule engine.

Primary Responsibilities:

• Test case creation and execution
• Testing new features being developed to make sure the product is functionally and clinically viable
• Testing clinical rules/patterns being developed to ensure the rule correctly captures the essence of the sourced clinical/medical guidelines
• Ensure the product is compliant to the US Healthcare system
• Work closely with the Business Analysts, medical/clinical coding experts to clearly understand the business requirement of feature or rules and then co-ordinate with the software developers, other team members & stakeholders to ensure the feature being delivered is clinically and functionally accurate
• Create testing environments with special focus on replicating client's environment during defect research and fix.
• Provide accurate and timely estimates for tasks
• 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 degree or equivalent experience
• Certified Medical coder
• Expertise in US Healthcare system with medical coding experience to perform clinical and functional testing
• Knowledge of Quality Engineering best practices
• Knowledge of the Agile methodology for delivering software solutions
• Proven good analytical skills and client like testing mindset
• Proven excellent verbal and written communication skills, problem solving and troubleshooting skills with focus on accuracy and attention to details

Preferred Qualifications:

• Experience on tools such as Rally, intellij, GITHUB and or other testing tools
• Working knowledge of Oracle and SQL DB
• Clinical testing and automation tools knowledge
• Proven effective utilization of AI tools in clinical testing

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.