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Subject Matter Expert-ED

Optum

5.0 - 10.0 years

Hyderabad

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We are seeking experienced and detail-oriented Subject Matter Experts (SMEs) in Emergency Department (ED), Evaluation Management (E/M) Outpatient/Inpatient (OP/IP) coding. The SME will be responsible for ensuring coding accuracy, compliance with regulatory guidelines, and supporting training and audit functions. This role is critical in maintaining high-quality coding standards and supporting continuous improvement initiatives. Primary Responsibilities: Perform high-level coding reviews for ED and E/M OP/IP encounters Ensure accurate assignment of CPT, ICD-10-CM, and HCPCS codes based on documentation Validate code selection against payer-specific guidelines and NCCI edits Identify trends an...

Posted 2 weeks ago

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