Senior Medical Coder - IPDRG

Optum India; Chennai; On-site; INR 600,000 - 1,200,000; Full time

Job summary

Optum India in Chennai is seeking an experienced IPDRG Coder to accurately translate medical data into ICD-10 and CPT codes in alignment with SLA requirements. The role requires strict attention to coding guidelines and data integrity.

The candidate must have 2+ years of IPDRG coding experience, be compliant with HIPAA regulations, and consistently meet quality and turnaround targets. You will contribute to precise medical data handling and adhere to CMS guidelines for outpatient coding.

Qualifications

• 2+ years of IPDRG Coding experience mandatory.
• Familiarity with HIPAA regulations and data privacy.

Responsibilities

• Code medical records using ICD-10 and CPT with high accuracy per SLA.
• Identify and resolve data inconsistencies and discrepancies in medical data.
• Ensure compliance with CMS rules and regulations for outpatient encounters.
• Meet quality and productivity targets and deadlines.
• Assign discharge physicians in the system and maintain data standards.
• Adhere to company policies and flexible work arrangements.

Skills

IPDRG Coding

HIPAA compliance

Coding accuracy

Tools

ICD-10 CPT coding

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 all applicable Company policies, procedures, and business directives, changes including those relating to work location, team assignments, work schedules, and flexible work arrangements.

Required Qualification

• 2+ years of experience in IPDRG Coding is mandate

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.