Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy advantages, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Primary 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
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
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:
Educ

📌 Subject Matter Expert (India)
🏢 UnitedHealth Group
📍 India