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Summary
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
- Maintai

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