Chennai Tamil Nadu Provider data management healthcare Jobs – 101 Open Jobs Today

Clinical Documentation Integrity Specialist
Optum —Chennai, Tamil Nadu
- Full-time
- Microsoft Word
- Medicine
- Microsoft Excel
- Health insurance
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Optum —Chennai, Tamil Nadu
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UST —Chennai, Tamil Nadu
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Manager - Clinical Documentation Integrity
Optum —Chennai, Tamil Nadu
- Full-time
- Microsoft Word
- Medicine
- Microsoft Excel
- Health insurance
Consultant I
UST —Chennai, Tamil Nadu
- Azure
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Smart Data Solutions LLC —Perungudi, Chennai, Tamil Nadu
- Remote
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- Bachelor's degree
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Athenahealth —Chennai, Tamil Nadu
- Full-time
- Nursing
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Rejections Specialist
Ventra Health, Inc. —Guindy, Chennai, Tamil Nadu
- Full-time
- 12th Pass
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SolvEdge —Chennai, Tamil Nadu
- Email
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AR Analyst – Hospital Billing (Day shift)
SolvEdge —Chennai, Tamil Nadu
- Email
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- Health insurance
Assistant Manager - Business Analyst
EXL Service —Chennai, Tamil Nadu
- Full-time
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Project Manager
NewPage Digital Healthcare Solutions —Chennai, Tamil Nadu
- Full-time
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ED CDI Specialist
Intigniz Solutions —Chennai, Tamil Nadu
- Anatomy knowledge
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Senior Manager, Vendor Management
Smart Data Solutions LLC —Perungudi, Chennai, Tamil Nadu
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Cognizant —Chennai, Tamil Nadu
- Full-time
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1d
Business Intelligence Associate
Athenahealth —Chennai, Tamil Nadu
- Full-time
- Microsoft Excel
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- Salesforce
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13d
Assistant Vice President
EXL Service —Chennai, Tamil Nadu
- Full-time
- Master's degree
- SQL
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Clinical Documentation Integrity Specialist

Optum -
Chennai, Tamil Nadu

Apply Now

Job details

Full-time

Benefits

Health insurance

Qualifications

Microsoft Word
Medicine
Microsoft Excel
Medical coding
MBBS
Bachelor's degree
EMR systems
Critical care experience
Communication skills

Full 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.

The Clinical Documentation Integrity Specialist is responsible for the day-to-day implementation of processes related to the review of inpatient medical records. This role is centered on assessing accuracy, specificity, and completeness of provider clinical documentation. The primary objective is to ensure that documentation explicitly identifies all clinical findings and conditions present at the time of service to accurately reflect the severity of the patient's condition and the acuity of care provided.

Please note that according to the sources, this position does not have patient care duties, direct patient interactions, or any role related to patient care.

Primary Responsibilities:

Clinical Documentation Review
- Perform expert-level concurrent reviews of inpatient medical records within 24-48 hours
  of admission
- Identify documentation gaps, inconsistencies, or insufficient specificity impacting diagnosis capture, Principal diagnosis, SOI/ROM, DRG assignment, and quality metrics
Clinical Clarification & Query Management
- Initiate and manage compliant queries exclusively through electronic means, to obtain necessary clinical clarification
- Ensure queries are clinically supported, non-leading, and aligned with AHIMA and
  organizational query standards
- Conduct daily follow-up on outstanding queries to support timely documentation resolution
Documentation & System Utilization
- Accurately document all review findings, monitor and resolve queries, responses, and
  outcomes using approved CDI tools and platforms (e.g., Midas Clinical Documentation Improvement Focus Study or equivalent systems)
- Maintain clear notes for audit trails to support internal review and external audits
Education & Continuous Improvement
- Participate in structured physician education initiatives to enhance awareness of
  documentation requirements and best practices
- Stay current with evolving documentation, coding, and regulatory guidelines affecting inpatient reimbursement and quality outcomes
Collaboration & Interdisciplinary Engagement
- Work collaboratively with Medical Coding Professionals to reconcile documentation and
  final DRG assignment
- Partner with the Onshore Team who interacts with Physician Advisors, Care coordination and Quality Management teams to identify systemic documentation improvement opportunities
- Support organizational initiatives related to documentation accuracy, compliance, and performance improvement
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:

Education: Valid MBBS degree (Indian/FMG credentials)
Experience: Experience in patient handling and care, critical care or case management is preferred as it provides a foundational understanding of complex patient needs, resource allocation, and the interdisciplinary coordination required in high-acuity healthcare settings
Technical Skills: Basic understanding of Microsoft Word, Excel, and basic understanding of EMR/EHR
Standards Knowledge: Basic familiarity with healthcare compliance, clinical documentation, medical terms and concepts, HIPAA, and the general idea of medical coding (ICD-10). Any enhanced knowledge of ICD-10 will be preferential
Communication Skills: Proven excellent verbal and written skills to effectively articulate document gaps and provide the rationale for clinical queries

Preferred Qualification:

Certification such as the Certified Clinical Documentation Specialist (CCDS)

Note: There is no face-to-face interaction with physicians due to the offshore nature of the role.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Apply Now

Refine Your Search

provider data management healthcare jobs in chennai tamil nadu

Clinical Documentation Integrity Specialist

Clinical Investigator

Associate II - HealthPlan (Claim Adjudication)

RCM Fresher (Day Shift / Night Shift)

RCM Trainer (US Healthcare)

Case Manager cum Rehabilitation Manager

Manager - Clinical Documentation Integrity

Consultant I

Human Resources Assistant

Senior Quality Analyst

Rejections Specialist

Team Leader – Revenue Cycle Management (Hospital Billing)

AR Analyst – Hospital Billing (Day shift)

Assistant Manager - Business Analyst

Project Manager

ED CDI Specialist

Senior Manager, Vendor Management

SPE-Claims HC

Business Intelligence Associate

Assistant Vice President

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