Deputy Manager Operations |IP DRG | Medical Coding|

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.