Medical Coding Analyst

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:

• Roles and Responsibilities post training:
  • Coding the medical record using the ICD-10 and PCS 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 inpatient encounters, applies coding conventions and official coding guidelines approved by the American Hospital Association (AHA), and any other official rules and guidelines established for use with the mandated outpatient procedure code sets
  • 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:

• Education Background:
  • Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
• Certification:
  • Certified coder - AAPC or AHIMA - CCS or CPC or CPC-H or CCS-P
• Experience:
  • 1+ years of experience in Acute Surgery or ED coding
• Proficient in Human Anatomy, Medical Terminology and Diagnosis coding
• Proven good in English communication
• Proven high analytical skills
• Proven willingness and eager to learn and grow

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.