Walk-In Drive For Experienced Certified Medical Coders with Optum

Job Description

Hi, Warm Greetings from Optum !! We are hiring Experienced Certified Medical Coders who are interested to work in HCC Coding Projects. Work Location - Optum Health & Technology (India) Pvt Ltd, 2nd floor, Awfis@quespaces, Seasons Mall, Magarpatta City, Hadapsar, Pune, Maharashtra Shift Timings - General Shift Experience - 1-6 Years Roles & Responsibilites - 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. Qualification & Skills Required - Medical coding work experience of 1-6 years is required. HCC coding work experience is highly preferred. Candidates with 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. Any one certification from AAPC/AHIMA is mandatory (CRC, CPC, CIC, COC, CCS) Good knowledge in Anatomy, Physiology & Medical terminology. 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. Interested candidates can directly Walk - In to our office with below set of documents. Updated Resume 1 Passport Size Photo Any 1 Original Govt ID Proof Interview Date - 6-June-2025 (Friday) Interview Time - 10 AM to 1 PM Venue - Optum Health & Technology (India) Pvt Ltd, 2nd floor, Awfis@quespaces , Seasons Mall, Magarpatta City, Hadapsar, Pune, Maharashtra Contact Person - Sudeshna Nayak Regards Team HR