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Deputy Manager Operations

2 months ago

tamil nadu, 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.