Medical Coding Analyst

Company Overview :

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities :

• Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines.
• Be able to review and analyse 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 the betterment of the team in terms of quality and productivity.
• Under general supervision, organize and prioritize 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 to confidentiality and maintain the 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 regarding 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 :

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.

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Internal Employee Application

Locations - Primary Location :

Noida, Uttar Pradesh, IN