369 Cic Jobs - Page 12

Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA EM Coder/QA/SME ED Coder/QA/SME Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA EM Coder/ED Coder/QA

Greeting from Access Healthcare !... We are hiring for Medical Coders Speciality: HCC Coder/ QA Experience 2 + Years Location: Chennai Work Type: Office Both Certified / Non Certified Also Notice Period: 0 to 30 days Interested Candidates can fill this form : https://forms.office.com/r/0pWqxRGjN1 For queries reach out / drop your resume to the below given contact details. Adhiba J Recruiter - TA (Talent Acquisition) Ph- +91 8680083134 Email : adhiba.j@accesshealthcare.com

Role & responsibilities Here's a polished version of the job posting: Job Opportunity: Job Title : HCC Coder & QA Specialist Company : Access Healthcare Location : Chennai (Ambattur) Job Type : Full-time Work Arrangement : Office-based Requirements: - 2+ years of experience - Non-certified candidates can apply - Immediate Joiner Preferable Interview Details: - Virtual interview mode How to Apply: If you're interested, please share your resume Contact KAVITHA M 7825827715 kavitha.m24@accesshealthcare.com This job posting seems to be for a medical coding and quality assurance role in the healthcare industry. If you have the required experience and skills, it might be worth exploring!

* Greetings from Access Healthcare* Openings for Senior Medical Coders 1. Surgery Coder ( WFO ) - Chennai & Coimbatore & Pune 2. *Denials coder* ( WFO ) - Chennai, Coimbatore & Pune 3. *Em op coder*( WFO) - Chennai & Coimbatore & Pune 4. *IVR Coder*( WFO) - Chennai & Coimbatore 5. *Ed facility* - Chennai& Coimbatore & Pune 6. Radiology coder -Chennai and coimbatore & Pune Certified only Exp - 1+ yrs Immediate joiner Designation - Medical Coder Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday kowsalya - 8122343331 call and WatsApp Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - Kindly share this to all friends who in need of jobs in Coding

We Are Hiring! | IPDRG Roles Coder / QA / Trainer Locations: Hyderabad & Chennai Work From Office (WFO) Open Positions: IPDRG Coder – Min. 1 Year Experience | Certified Candidates Only IPDRG QA – Immediate Joiners Preferred | Certified Only | Hyderabad IPDRG Trainer – Immediate to 2 Months Notice | Certified Only | Chennai & Hyderabad Qualification: Any Degree Salary: As per Industry Standards Relieving Letter: Not Mandatory Notice Period: Immediate Joiners Preferred Interested? Send your updated resume via WhatsApp to: HR Aparna – 8019127669

Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders/ QA with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. About the role: Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. Requirements: 1 to 7+ Years experience in IPDRG medical Coding 1 plus years of experience for coders 5 plus years of experience for QA with CPC/CCS/CIC mandatory Education Any Graduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC / CPC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Completely Work from Office (Chennai Location) Preferred Immediate Joiners & notice period is acceptable. Contact person Vedha Mithra HR Contact mail - Vedha@happiehire.com/ 9010608096. If you are not interested, refer any of your friends who has the relevant experience.

Desired Candidate Profile QA(Head) / TL(With QA Experience) / TL with Six Sigma Certificate 1) E/M IP & OP - Lead Delievery Quality Exp : 7-9 Yrs , (Candidate should have Team Handling Experience in Quality side - On paper is not mandatory) Location : Chennai Max CTC - 8-10 LPA 2) IPDRG - Lead Delivery Quality Exp - 7-9 Yrs (Candidate should have Team Handling Experience in Quality side - On paper is not mandatory) Location - Chennai Salary - Max 8 -11 LPA 3)Process Coach - E/D Pro & Facility Exp - 5-8 Yrs Any Certification Location : Chennai Salary - 7-8 LPA Both are WFO Only & Only 15 OR 30 Days notice Period only Location Chennai , Bangalore ,Coimbatore Interested Can DM - 7550062225 Thanks regards , Indhu Senior Lead HR *Be Kind to Everyone*

Hi All interview Started For CODERS & QA and offer Relese also Started QA/ QC EM OP - 3 year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started Denial Coder QA/ QC - 3 year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started QA / QC - ED Profee Facility + Ancillary - 3 year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started Anesthesia -3 year Above QA / QC To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started QA/ QC - EM IP +OP + Hospitalist - 3 year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started QA / QC Denials (Multispeciality) - 3 year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Relese also Started IPDRG QA - 3 Year Above To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Mohamed Nazarudeen 8903902178 Watsapp and call Sai Santosh 8925722891 watsapp and call Hashrithaa 9894654083 watsapp and call Karthick 9626985448 watsapp and call Ranjitha 8807618852 watsapp and call Surendearan 9600183612 WatsApp and call praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding

Job Summary: The Senior Manager Training (Medical Coding) is responsible for strategizing, designing, and delivering training programs that enhance the technical competency of coders in alignment with industry standards and client requirements. This role focuses on developing high-performing medical coding teams through robust onboarding, upskilling, and quality enhancement initiatives. The role also includes mentoring a team of trainers and collaborating with operations, quality, and HR teams. Key Responsibilities: Training Strategy & Planning Design and implement the overall technical training strategy for medical coding teams (IPDRG). Conduct training needs assessments in collaboration with business stakeholders. Create annual and quarterly training roadmaps for new hires and existing employees. Program Development & Delivery Develop and update training content, manuals, and e-learning modules in line with current CPT, ICD-10, and HCPCS coding guidelines. Oversee delivery of new hire training (NHT), refresher training, cross-training, and certification prep (e.g., CPC, CCS). Ensure effective use of training tools, simulations, and assessments to evaluate knowledge retention. Team Leadership & Development Manage a team of technical trainers and senior trainers; provide coaching, support, and performance feedback. Build internal capabilities through Train-the-Trainer (TTT) programs and leadership development of trainers. Align training KPIs with business goals and continuously track trainer effectiveness. Quality & Compliance Collaborate with the Quality and Compliance teams to address audit findings, quality trends, and RCA-driven training. Ensure all training programs meet HIPAA regulations, payer guidelines, and client-specific standards. Support coders in achieving and maintaining relevant certifications and CEUs. Stakeholder Collaboration Partner with operations, client services, quality assurance, and HR to drive productivity and accuracy improvements through training. Present regular reports on training metrics, effectiveness, and ROI to senior leadership. Support transitions and ramp-ups with customized training plans for new projects or client accounts. Requirements: Education : Any graduate; Certification in CPC, CCS, or equivalent is mandatory. Experience :13+ years in medical coding, with 5+ years in training leadership roles. Exposure to IPDRG coding is essential. Skills : Expertise in CPT, ICD-10, and HCPCS coding guidelines. Strong instructional design and facilitation skills. Experience with LMS and e-learning tools. Ability to analyse training impact using quality and productivity metrics. Key Competencies People management and leadership Technical acumen in coding standards and compliance Strategic planning and execution Communication and stakeholder management Analytical thinking and continuous improvement mindset Relevant Experience candidates can share cvs to dp@talentqs.com or whats up to 8885935810 for more details

Hiring For || Medical - Coders / QA / Process coach / TL || 12lpa || Certification is Mandatory / Qualification: Any Degree IPDRG - Service Delivery Head : Chennai 15+ Years Experience In IPDRG and Min 5 years into leadership (on papers) 2 Yrs Senior manager on paper is must ( Any certification ) Sigma Black Belt or PMP certification CODERS : 1. IPDRG Coder : Noida / Hyd / Chennai / Mumbai || CTc upto 13 LPA || 2. Surgery Coder : Hyderabad / Chennai / bangalore || CTc upto 10 lpa || 3. Denials : Chennai / Hyderabad || CTc upto 10 lpa || 4. Radiology : Chennai / bangalore || upto 48k Take home || 5. ENM : Chennai / bangalore || upto 48k Take home || 6. Anesthesia : Hyderabad || take home upto 48k || 7. ED Profee: Chennai / Bangalore || take home upto 48k || Experience : Minimum 1 year relevant experience is mandatory QUALITY ANALYST: 1. Surgery : Hyderabad/ Chennai / Bangalore || take home upto 60k || 2. Home Health : Chennai || CTC Upto 10 LPA || 3. IPdrg : Hyderabad || CTC upto 12lpa || 4. Denials : Hyderabad || CTc upto 9.5 lpa || 5. Radiology +IVr: Hyderabad || CTc upto 9.5 lpa || 6. Anesthesia : Hyderabad || take home upto 60k || 7. ENM : Chennai / bangalore || upto 60k Take home || Eligibility : Min 4 years as a Coder and 1 year exp as QA on (Or) off paper PROCESS COACH : 1. Surgery : Chennai / Bangalore || CTC Upto 9 LPA || 2. ENm : Chennai /Bangalore || CTC Upto 9 LPA || Eligibility : Min 4 years as a Coder and 1 year exp as QA on (Or) off paper TEAM LEAD: 1. SDS : Bangalore || CTC Upto 12 LPA || 2. Home Health : Bangalore || CTC Upto 12 LPA || 3. ENM : Bangalore || CTC Upto 12 LPA || Eligibility : Min 6 years exp as coder with exp 1 year (on papers) teamlead Work from office / Relieving is mandatory Interested candidates can share your updated resume to HR Mounika 9849854938 ( Via What's app ) Reference are highly appreciate

Immediate Job Openings for IP DRG Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IP DRG Medical Coding. Specialty : IP DRG Medical Coding Experience : 1 - 5 Years. Designation : Medical Coder/ Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem - WFO Interested Candidate can Call Immediately to 9566406546(Available on Whatsapp) or forward your profile to kalaiyarasi.r@veehealthtek.com Regards, Kalaiyarasi Raja - HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Immediate Job Openings for Surgery Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in Surgery Medical Coding. Specialty : Surgery Medical Coding Experience : 2 - 5 Years. Designation : Sr Coder/QA Certification: CPC/COC/CCS/CIC is Must Salary: 45K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Hyderabad/Trichy/Salem/Pune - WFO Interested Candidate can Call Immediately to 9566406546(Available on Whatsapp) or forward your profile to kalaiyarasi.r@veehealthtek.com Regards, Kalaiyarasi Raja- HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Immediate Job Openings for IVR Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in IVR Medical Coding. Specialty : IVR Medical Coding Experience : 1 - 3 Years. Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 35K CTC Max Joining: Immediate Joiners only Location : Chennai/Trichy/Salem - WFO Interested Candidate can Call Immediately to 9566406546(Available on Whatsapp) or forward your profile to kalaiyarasi.r@veehealthtek.com Regards, Kalaiyarasi Raja - HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

Immediate Job Openings for EM Medical Coders @ Vee Healthtek Job Description: 1+ Years of Experience in EM Medical Coding. Specialty : EM Medical Coding Experience : 1 - 4 Years Designation : Medical Coder/ Sr Coder Certification: CPC/COC/CCS/CIC is Must Salary: 32K CTC Max Joining: Immediate Joiners only Location : Chennai/Bangalore/Trichy/Salem/Pune - WFO Interested Candidate can Call Immediately to 9566406546(Available on Whatsapp) or forward your profile to kalaiyarasi.r@veehealthtek.com Regards, Kalaiyarasi Raja- HRD 9566406546 kalaiyarasi.r@veehealthtek.com Vee Healthtek

2 - 5 year experience required Core specialties: Neuro spine Level 3 surgery, Ortho and EM coding. Certified can only apply Preferred Certifications: CPC, CPC-A, CCS, COC, CIC WFO Contact 8977711182

Hi All interview Started For CODERS & QA and offer Relese also Started EM IP - 1 Year Above EM OP - 1 year Above Denial Coder - 1 year Above ED Prefee Facility + Ancillary - 1 year Above Anesthesia -1 year Above EM IP +OP + Hospitalist - 1 year Above Coding Denials (Multispecialty) - 1 year Above Surgery Coding -1 year Above IPDRG - 1 Year Above HCC Coders - 2 year Above HCC QA - 3 Year Above Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Our supporting HR - Details Call Them Schedule Your Interviews Available Timing from 10.30 am to 6.30 pm Monday to Saturday Ashok HR 9361606511 WhatsApp and call Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - Kindly share this to all friends who in need of jobs in Coding

Hi All interview Started For CODERS & QA and offer Release also Started Anesthesia -1+ year & Above Location - Chennai only (Anyone willing to relocate to Chennai also can apply) ONLY WORK FROM OFFICE Certified Must NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Hashrithaa HR - 9894654083 (Watsapp and call) To JOIN WATSAPP GROUP PING TO 9655581000 *Referrals are most welcome*

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 betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes 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 with confidentiality and maintains 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 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#NTRQ Required Qualifications Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC - Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines

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 The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. 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 Full-timeYes Work from officeYes Travelling Onsite / OffsiteNo Required Qualifications Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology 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.