Clinical Investigator

UnitedHealth Group

1+ yrs Bengaluru Full Time Work from office
UnitedHealth Group logo
Posted : today
Actively hiring

Job description

Join Optum, a global leader in healthcare, and contribute to improving health outcomes by connecting individuals with the resources they need. Our inclusive culture fosters collaboration with talented peers and offers comprehensive benefits and career development. Make a significant impact on communities worldwide as we advance health optimization.

Responsibilities

Utilize medical expertise, coding knowledge (CPT, diagnosis), and compliance guidelines to prevent fraudulent claims. Adhere to state, federal, and client-specific policies. Assist teams with special projects and reporting, and coordinate with colleagues on process updates. Comply with all employment terms, company policies, and directives, demonstrating flexibility in a dynamic business environment.

Qualifications

A graduate degree is required, with preference for BHMS, BAMS, BUMS, BPT, B.Sc. Nursing, or BDS. A B.Sc. Nursing or BDS combined with 1+ year of corporate experience is also sought. Certification as a coder through AAPCC (CPC only) is essential.

Candidates with 1+ years of experience (if not a medical graduate) should possess expertise in specialty coding such as E&M or surgery, excluding solely HCC. Proven attention to detail, a quality-focused approach, and strong analytical and comprehension skills are paramount.

Essential Skills

Medical ExpertiseCPT CodesDiagnosis CodesCMS GuidelinesClient-Specific GuidelinesMember PoliciesState and Federal ComplianceContract ComplianceSpecial ProjectsReportingTeam CoordinationProcess UpdatesAnalytical SkillsComprehension SkillsQuality FocusAttention to Detail

Good to Have

Claims ProcessingHealth InsuranceManaged CareUS HealthcareMedical Record Familiarity

Highlights

  • Actively hiring

More Details

RoleClinical Investigator
IndustryHealthcare
DepartmentClinical, Investigator, Coding, Claims Processing
Employment TypeFull Time, Work from office

About the Company

UnitedHealth logo

UnitedHealth

Healthcare

Clinical Investigator at UnitedHealth Group | SkillMX | SkillMX