Greeting From Optum!!

Optum is hiring Quality Auditors for IPDRG Coding in Hyderabad ,Chennai & Noida

Medical Coding QA - IPDRG

Requirements

- Education Background:
- Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
- Certification:
- Should be a certified coder AAPC / AHIMA – CCS/CPC/CPC-H/CCS-P
- Valuable in English communication
- Thorough knowledge of medical terminology, human anatomy/ physiology, pathophysiology
- Should have understanding of interpreting the medications and dosages.
- Should have minimum of 6 yrs. coding experience in relevant specialty.
- Should be able to provide proper and detailed feedback on errors and conduct/provide training based on error trends.
- Should be able to participate/conduct/lead calibrations between SMEs, auditors and trainer group.

Roles and Responsibilities post training:
- 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.

📌 Quality Analyst- IPDRG (Chennai)
🏢 Optum
📍 Chennai