Deputy Manager Operations

1 month ago

Chennai, India Optum Full time

Optum, Chennai is hiring Deputy Manager - Operations for Medical Coding (IP DRG)


Please find below details of the same


Job Description


  • Auditing coded medical records using the ICD-10-CM and PCS.
  • 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.


Requirements


  • Graduate or Postgraduate in: Life Sciences, Allied Medicine (BHMS, BAMS, BPT, Dental Grads, Pharmacist, Nursing)
  • Should be a certified coder – AAPC / AHIMA – CCS/CIC
  • Good 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 6-7 yrs. experience in Facility Inpatient coding.
  • 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.

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