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Optum
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Medical Coding Analyst

Medical Coding Analyst

Optum

1 - 3 years

4 - 8 Lacs

Noida

Posted:1 day ago| Platform:

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Skills Required

icd human anatomy cpt physiology hcpcs anatomy hipaa radiology us healthcare ip drg cms ems ccs cpc medical billing rcm ed cpt coding hcc coding claims adjudication medical coding er coding coc mdm pharmacy medical records cic icd-10-cm

Work Mode

Work from Office

Job Type

Full Time

Job Description

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

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. External Candidate Application Internal Employee Application

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Medical Coding Analyst