Med Coder - Bengaluru, Karnataka, India - Optum

Optum

Verified Company

Bengaluru, Karnataka, India

3 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

Job Family Description

Positions in this family include those reposnsible for functions in areas such as health services, clinical services and delivery of clinical care

Job Function Description

Jobs in this function provide coding and coding auditing services directly to providers. This includes the analysis and translation of medical and clinical diagnoses, procedures, injuries, or illnesses into designated numerical codes.

General Job Profile

Moderate work experience within own function.
Some work is completed without established procedures.
Basic tasks are completed without review by others.
Supervision/guidance is required for higher level tasks.

Job Scope and Guidelines

Applies knowledge/skills to activities that often vary from day to day.
Demonstrates a moderate level of knowledge and skills in own function.
Requires little assistance with standard and nonstandard requests.
Solves routine problems on own.
Works with supervisor to solve more complex problems.
Prioritizes and organizes own work to meet agreed upon deadlines.
Works with others as part of a team.

Minimum Educational Background

High school education or equivalent experience.

Functional Competency & Description

Proficiency Level MCD_Translate Medical Terminology into Medical Codes B) Developing

Leverage understanding of disease process to identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes
Utilize resources and reference materials (e.g., online sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines
Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
Follow up with providers as necessary when responses to queries are not provided in a timely basis
Utilize medical coding software programs or reference materials to identify appropriate codes

MCD_Make Medical Coding Determinations B) Developing

Read and interpret medical coding rules and guidelines to make decisions (e.g., exclusions, sequencing, inclusions)
Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
Resolve medical coding edits or denials in relation to code assignment

MCD_Maintain Medical Coding Quality Standards B) Developing

Provide information or respond to questions from medical coding quality audits
Perform medical coding audits to evaluate medical coding quality
Review medical coding audit results Follow steps per agreement with medical coding audit results to resolve discrepancies
Provide resources and information to substantiate medical coding audit findings
Educate and mentor others to improve medical coding quality

MCD_Demonstrate Coding

Related Business and Technical Knowledge B) Developing
Demonstrate understanding of National and Local coverage determinations
Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
Follow relevant professional code of ethics consistent with required certifications
Attain and/or maintain relevant professional certifications and continuing education seminars as required
Leverage relevant computer software programs (e.g., Microsoft Office) to record information, analyze data, or communicate with others
High school education or equivalent experience.
High school education or equivalent experience.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do
your life's best work.SM**Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.