Non-Clinical Job at Optum, Hyderabad
Are you an experienced medical coder looking to step into a leadership role? Optum is hiring a Subject Matter Expert (ED) in Hyderabad for professionals with strong expertise in medical coding and auditing. This Non-Clinical job in Hyderabad focuses on improving healthcare outcomes through accurate data analysis and coding quality. You will work with ICD-10 and CPT coding systems while mentoring coders and ensuring compliance. The position offers a dynamic environment with opportunities for growth and impact. This Non-Clinical Job at Optum Careers is ideal for candidates with strong analytical and training skills in medical coding.
About Optum:
Optum, a part of UnitedHealth Group, is a global healthcare organization focused on improving health outcomes through technology, data, and care delivery solutions. The company is committed to helping people live healthier lives by connecting them with essential healthcare services, pharmacy benefits, and resources. With a strong emphasis on inclusion, innovation, and performance, Optum fosters a collaborative work environment with excellent career growth opportunities.
Job Details:
- Position: Subject Matter Expert (ED)
- Location: Hyderabad, Telangana, India
- Job Type: Full-time
- Category: Medical & Clinical Operations
- Requisition Number: 2360687
- Experience Required: 6+ years in medical coding
- Travel Requirement: No
Key Responsibilities:
- Auditing coded medical records using the ICD-10 and CPT
- 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 in this Non-Clinical Job in Hyderabad
- 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 at Optum Careers
- Educate coders on coding updates
- Carefully demarcates between educational feedback and errors
- Reviews rebuttals with integrity as a Subject Matter Expert
- 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.
Required Qualifications for this Job:
- BHMS, BAMS, BPT, Dental Graduates
- Certified coder – AAPC / AHIMA – CCS/CPC/CPC-H/CCS-P
- 6+ years of coding experience in a relevant specialty
- Thorough knowledge of medical terminology, human anatomy/ physiology, and pathophysiology
- Understanding of interpreting the medications and dosages
- Good at English communication
- Proven ability to provide proper and detailed feedback on errors and conduct/provide training based on error trends
- Proven ability to participate/conduct/lead calibrations between SMEs, auditors and trainer group
Benefits of the Non-Clinical Job:
- Opportunity to work with a global healthcare leader
- Career growth in the medical coding and auditing domain
- Exposure to advanced healthcare data systems
- Inclusive and collaborative work culture
- Competitive compensation and comprehensive benefits
- Opportunity to make a real impact on healthcare outcomes
