Medical Coding Analyst | OPTUM ( UHG) – Noida

Job Description Medical Coding Analyst:

This process works on assigning appropriate codes against the diagnosis, procedures, supplies and tests as mentioned in charts received from hospitals. The associate need to assign correct ICD, CPT and supply codes.

Required Exp: 1-5 Years
Location: Noida

Job Responsibilities:

  • To work on claims which are denied due to incorrect revenue codes , missing ICD / procedure codes for vaccines , missing medical necessity codes , continuous bladder irrigation edits and DRG change edits etc .
  • To review the entire account in Coding software and client EMR system and match the coding as per documents in EMR.
  • Review the reason for Artiva assist and if the documents support the codes, update the codes in Coding and billing software.
  • Adherence to state and federal compliance policies and Client SLAs
  • Assist the prospective team with special projects and reporting

Industry: Pharma / Biotech / Clinical Research
Functional Area: ITES, BPO, KPO, LPO, Customer Service, Operations
Role Category: Quality
Role: Team Leader-Quality Assurance/Quality Control
Employment Type: Permanent Job, Full Time

Keyskills: Medical Coding Analyst

Desired Candidate Profile

Qualifications
– Medical degree -MBBS/ BHMS/ BAMS/ BUMS/ BPT/ MPT/ Nursing (preferred)
-Coding Certification CPC/ COC/ CCA/ CCS/ CIC
-Knowledge of US Healthcare and coding desirable
-Attention to detail & Quality focused.
-Good Analytical & comprehension skills.

Preference Criteria

-Experience in facility coding
-Exposure to Denial handling
-Health Insurance knowledge, managed care experience
-Medical record familiarity

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