Subject Matter Expert

4 weeks ago

Hyderabad India Optum Full time

Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. 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. Join us to start Caring. Connecting. Growing together.

We are seeking experienced and detail-oriented Subject Matter Experts (SMEs) in Emergency Department (ED), Evaluation & Management (E/M) Outpatient/Inpatient (OP/IP) coding. The SME will be responsible for ensuring coding accuracy, compliance with regulatory guidelines, and supporting training and audit functions. This role is critical in maintaining high-quality coding standards and supporting continuous improvement initiatives.

Primary Responsibilities:

- Perform high-level coding reviews for ED and E/M OP/IP encounters
- Ensure accurate assignment of CPT, ICD-10-CM, and HCPCS codes based on documentation
- Validate code selection against payer-specific guidelines and NCCI edits
- Identify trends and provide feedback to improve coding accuracy and documentation quality
- Participate in internal and external coding audits
- Collaborate with compliance teams to address audit findings and implement corrective actions
- Stay updated on regulatory changes (CMS, AMA, etc.) and ensure coding practices align with current standards
- Work with cross-functional teams to streamline coding workflows
- Provide SME input for system enhancements, coding tools, and automation initiatives
- Support client queries and escalations related to ED and E/M coding
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

- Certification: CPC, CCS, or equivalent
- 5+ years of experience in medical coding, with specialization in ED and/or E/M OP/IP coding
- Experience with coding platforms and EMR systems (e.g., Epic, Cerner)
- Solid understanding of coding guidelines (CPT, ICD-10-CM, HCPCS, CMS, AMA)
- Proven excellent communication, analytical, and problem-solving skills

  • Subject Matter Expert

    4 weeks ago

    Hyderabad, India IntouchCX Full time

    About the Job The Subject Matter Expert (CSR2) plays a critical role within IntouchCX. The ideal candidate will provide front-line direction to our Customer Service Representatives, and ensure quality service is provided in every customer interaction. As Subject Matter Expert (CSR2), You Will Represent our client partners, and learn and maintain knowledge of...

  • Subject Matter Expert

    4 weeks ago

    Hyderabad, India Sri Gajanan E-slates Private Limited Full time

    We Are #Hiring. Know anyone who might be interestedInterested Candidates Share your Resumes: Job Title: Subject Matter Expert (Mechanical)Job Location: Hitech City, HyderabadInterview Mode: F2FSalary: Depends on InterviewExperience: 2-5yrsTimings: 10am - 6:30pmWorking Days: Monday – Saturday Company Description EKALASAALA is a pioneer in Career Guidance &...

  • Subject Matter Expert

    2 weeks ago

    Hyderabad, Telangana, India Sri Gajanan E-slates Private Limited Full time ₹ 4,80,000 - ₹ 6,60,000 per year

    We Are #Hiring. Know anyone who might be interestedInterested Candidates Share your Resumes: Job Title: Subject Matter Expert (Mechanical)Job Location: Hitech City, HyderabadInterview Mode: F2FSalary: Depends on InterviewExperience: 2-5yrsTimings: 10am - 6:30pmWorking Days: Monday – SaturdayCompany DescriptionEKALASAALA is a pioneer in Career Guidance &...

  • Subject matter expert

    4 weeks ago

    Hyderabad, India BOSSBERRY LEARNING Full time

    Subject Matter Expert (SME) Location:Gachibowli, Hyderabad (Work from Office) Company:Shubhanga Publications About Us Shubhanga Publications is a leading educational publishing house with 400+ titles across CBSE, Karnataka, Andhra Pradesh, and Telangana syllabi, serving the K–10 segment. Our vision is to deliver high-quality, innovative, and engaging...

  • English Subject Matter Expert

    4 days ago

    Kompally, Hyderabad, Telangana, India MDN Edify Education Pvt Ltd Full time

    **Hiring Subject Matter Expert for English for MDN Edify Education Kompally Hyderabad.** We are seeking a **Subject Matter Expert (SME) English** to develop and deliver content, curriculum, and instructional strategies tailored to the needs of young learners. **Job Requirements: - ** - **Curriculum Development** Design and update instructional content...

  • Science - Subject Matter Expert

    4 weeks ago

    Hyderabad, India Mdn Edify Education Full time

    MDN Edify Education is hiring a Science Subject Matter Expert for Grades 5–8. The role involves developing engaging content, designing curriculum, and providing academic support Required Candidate profile Candidates should have strong subject knowledge, excellent communication skills, and experience in school education. Must have laptop ...

  • DevOps Subject Matter Expert

    4 weeks ago

    Hyderabad, India Randomtrees Full time

    Job Title:DevOps Subject Matter Expert (SME) Veeva Development Cloud Job Location: Remote Experience Required: 8 12 years Shift Timings: 4 PM - 1 AM DevOps Subject Matter Expert (SME) with deep expertise in process and toolchain assessments to support the Veeva Development Cloud (Quality, Regulatory, Safety). The SME will lead the discovery phase from...

  • Subject Matter Expert

    1 week ago

    Kochi, Kerala, India, Ernakulam Hamad Medical Corporation Full time

    Job SummaryThe purpose of this role is to apply subject matter expertise on improvising business processes within their scope and functionality. Evaluate functional needs, issues and hindrances and recommend specific solutions. Provide subject matter expertise on complex issues within their area of specialization and participate in implementing solutions.Key...

  • Subject Matter Expert

    4 days ago

    Hyderabad, Telangana, India Sri Gajanan E-slates Private Limited Full time

    We Are **#Hiring**. Know anyone who might be interested Job Title: Subject Matter Expert (Mechanical) Job Location: Hitech City, Hyderabad Interview Mode: F2F **Salary**: Depends on Interview Experience: 2-5yrs Timings: 10am - 6:30pm Working Days: Monday - Saturday **Company Description** EKALASAALA is a pioneer in Career Guidance & Training for...

  • Hiring Subject Matter Expert for All

    1 week ago

    Hyderabad, Telangana, India MDN Edify Education Pvt Ltd Full time

    **Hiring Subject Matter Expert for All Subjects for MDN Edify Education Kompally Hyderabad** We are seeking a **Subject Matter Expert (SME) for ALL Subjects** to develop and deliver content, curriculum, and instructional strategies tailored to the needs of young learners. **Job Requirements: - ** - **Curriculum Development** Design and update...