Senior Medical Coder
PuneFull-time5–9 yrsPosted 1 week ago
Senior pharma role at UnitedHealth Group (Optum) in Pune. Needs 5+ years and a degree.
About the role
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.
What you'll do
- Ensure completeness and accuracy of billed service
- Consistency and completeness of coding using established CMS criteria and regulations
- Authorized signatures and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered
- Review diagnosis, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10)
- Validate the claim denial reason and logic in our internal claim processing platforms and confirm that the logic is correctly applied according to CMS coding policies
What you need
- Technical writing
- Documentation
- Communication