Job Description
Optum, Chennai is hiring Deputy Manager - Operations for Medical Coding (IP DRG)
Please find below details of the same
Job Description
• Auditing coded medical records using the ICD-10-CM and PCS.
• Know and adhere to HIPAA regulations.
• Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and / or query the responsible party, coder and supervisor.
• Meet auditor quality and productivity standards and deadlines / turnaround times set up for the process.
• Educate coders through feedback on errors.
• Analyze, report and conduct sessions on error trend observed.
• Conduct / participate / lead calibration calls between SMEs, auditors and trainers.
• Report malpractices noticed during auditing of any coder.
• Educate coders on coding updates.
• Carefully demarcates between educational feedback and errors.
• Reviews rebuttals with integrity.
Requirements
• Graduate or Postgraduate in : Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
• Should be a certified coder AAPC / AHIMA CCS / CIC
• Good in English communication
• Thorough knowledge of medical terminology, human anatomy / physiology, pathophysiology
• Should have understanding of interpreting the medications and dosages.
• Should have minimum of 6-7 yrs. experience in Facility Inpatient coding.
• Should be able to provide proper and detailed feedback on errors and conduct / provide training based on error trends.
• Should be able to participate / conduct / lead calibrations between SMEs, auditors and trainer group.
Please find below details of the same
Job Description
• Auditing coded medical records using the ICD-10-CM and PCS.
• Know and adhere to HIPAA regulations.
• Recognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and / or query the responsible party, coder and supervisor.
• Meet auditor quality and productivity standards and deadlines / turnaround times set up for the process.
• Educate coders through feedback on errors.
• Analyze, report and conduct sessions on error trend observed.
• Conduct / participate / lead calibration calls between SMEs, auditors and trainers.
• Report malpractices noticed during auditing of any coder.
• Educate coders on coding updates.
• Carefully demarcates between educational feedback and errors.
• Reviews rebuttals with integrity.
Requirements
• Graduate or Postgraduate in : Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
• Should be a certified coder AAPC / AHIMA CCS / CIC
• Good in English communication
• Thorough knowledge of medical terminology, human anatomy / physiology, pathophysiology
• Should have understanding of interpreting the medications and dosages.
• Should have minimum of 6-7 yrs. experience in Facility Inpatient coding.
• Should be able to provide proper and detailed feedback on errors and conduct / provide training based on error trends.
• Should be able to participate / conduct / lead calibrations between SMEs, auditors and trainer group.
💡 Quick Summary
Seeking a career-building opportunity? The Deputy Manager Operations |IP DRG | Medical Coding position is now open for candidates interested in the Health Jobs sector. This role in Ajmer offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.