Optum Walk-In Drive – CPC Certified Clinical Investigator (Noida)

Company: Optum | Location: Noida | Experience: 0 – 2 Years

Walk-In Drive Details

Job Description

Optum is hiring CPC Certified Clinical Investigators to work on healthcare claims investigation, recovery, and compliance projects supporting global healthcare operations.

Primary Responsibilities

• Investigate health insurance claims and prevent fraudulent payments.
• Review CPT, ICD coding and medical records for accuracy.
• Conduct pre-pay and post-pay claim audits.
• Perform root cause analysis and reporting.
• Ensure compliance with state & federal healthcare regulations.
• Coordinate with providers, clients, and legal teams.

Required Qualifications

• CPC Certification (mandatory).
• BHMS, BAMS, BUMS, BPT, MPT, B.Pharma, M.Pharma, B.Sc Nursing, BDS.
• 0–3 years of experience in medical coding or clinical audit.
• Strong analytical and comprehension skills.

Preferred Skills

• US Healthcare & Claims Processing knowledge.
• Managed care and medical record review.
• Attention to detail and quality-focused approach.

Job Overview