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Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and Optum's policies and procedures.

Primary Responsibilities

Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets




Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data
Utilizes the provided tools and any other necessary applications for proper coding, ensuring accuracy
Ensures that the medical staff documents have sufficient information for accurate coding and follows the predefined process for notifying management and data science teams when information is incomplete
Determines the sequence of diagnoses according to UHDDS (Uniform Hospital Discharge Data Set) standards for facility and also properly linking diagnosis to procedures based on the rules for ambulatory/professional coding policies
Ensures that Optum's policies and procedures for maintenance of medical records encounter details are followed. Maintains current knowledge of coding principles and guidelines as coding conventions are updated
Maintains a 95% coding acc

📌 Senior Medical Coder (Hyderabad)
🏢 Optum India
📍 Hyderabad