Associate Medical Coder

Company Description 

Optum is a global organization that provides care and uses technology to help millions live healthier lives. The work you’ll do with our team will matter. You’ll directly impact health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to achieve their best health.

  Here you will find a culture of inclusion, talented co-workers, great benefits, and opportunities for career growth. Come and help propel health optimization on a global scale and make a difference in the communities we serve. Come start Caring with us.

Job Summary 

The Ancillary Coding Specialist is responsible for the accurate review, analysis and assignment of medical codes for ancillary services including laboratory, radiology, pharmacy, therapy and other outpatient/diagnostic services. This role is responsible for compliance with coding standards, payer requirements and company policies to ensure correct billing and reimbursement. Medical coding is carried out in compliance with the ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for documenting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, code assignments from the HCPCS code book for supplies and equipment and NCCI Edits and Client Coding Guidelines.

Key Responsibilities 

• Review and assign accurate CPT, HCPCS, and ICD-10-CM codes for various healthcare services.

• Follow client guidelines, payer requirements, CMS regulations, and company SOPs while coding.

• Meet required productivity and quality targets for medical coding work.

• Handle coding for laboratory, radiology, infusion/pharmacy, and PT/OT/ST therapy services.

• Identify and resolve coding edits, claim denials, and rejections within the required TAT.

• Complete assigned work within established SLAs and turnaround timelines.

• Verify medical records and documentation to ensure medical necessity and accurate coding.

• Work effectively with team members and contribute ideas to improve quality and productivity.

• Maintain patient confidentiality, system security, and HIPAA compliance at all times.

• Follow company policies, employment terms, work assignments, and operational requirements as business needs change.

Educational Qualifications   

• Bachelor’s degree or equivalent qualification in Pharmacy, Life Sciences, Healthcare, Medical Coding, or a related field.

Preferred Qualifications & Skills   

• Life Science or Allied Health graduates with AAPC or AHIMA certification are preferred.

• Ability to stay updated with and apply AMA, AHA, and CMS coding guidelines.

• Knowledge of NCCI edits, LCDs, and NCDs and their impact on medical coding.

• Strong knowledge of medical terminology, human anatomy, and physiology.

• Proficiency in ICD-10-CM, CPT, and HCPCS coding guidelines.

Salary Structure 

The average salary for an Associate Medical Coder at Optum Global Solutions in India ranges from ₹3.2 Lakhs to ₹6.8 Lakhs per year. Total compensation varies based on certifications, shift policies, and office location.

Career Development 

• Career growth can begin as an Associate Medical Coder, followed by progression to Medical Coder and Senior Medical Coder with experience.

• Specialized roles such as Quality Auditor, Coding SME, or Clinical Documentation Specialist can be pursued with advanced skills and certifications.

• With strong performance and leadership experience, progression into Team Lead, Assistant Manager, and Manager positions can be achieved.

How to Apply: 

• Visit our Job Portal and create an account or log in to your existing account.

• Search for the Associate Medical Coder position and review the job details.

• Upload your updated resume and required documents, then complete the application form.

• Review your information and click Submit Application to apply successfully.