SENIOR ANALYST, CERTIFIED MEDICAL CODER

Position Summary... Position Summary - to be used in the job description summary column
Job Ad Description Job Summary We are seeking a detail-oriented and certified medical coder to join our Optical Medicare Coding team. The ideal candidate will be responsible for accurately coding procedures, diagnoses, and services related to vision, optical, and dental care. This role supports in-house operations for Walmart Pharmacy and Sam s Club, ensuring compliance with Medicare guidelines and optimizing reimbursement. About the team What You ll Do Review and analyze medical records and documentation for vision, optical, and dental services. Assign appropriate CPT, HCPCS, ICD-10-CM, and CDT codes based on Medicare and payer-specific guidelines. Ensure coding accuracy and compliance with federal regulations and internal policies. Collaborate with billing and clinical teams to resolve coding discrepancies and denials. Maintain up-to-date knowledge of coding changes, Medicare rules, and payer policies. Participate in audits and quality assurance reviews. Support training and mentoring of junior coders as needed. What You ll bring Certification: Mandatory: CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) from AAPC, or CCS (Certified Coding Specialist) from AHIMA. Preferred: CPMA (Certified Professional Medical Auditor) or specialty certification in ophthalmology or dental coding (e.g., AAPC s COPC or CDAC). Experience: Minimum 2-3 years of experience in medical coding, with at least 1 year in optical or dental coding preferred. Familiarity with Medicare Advantage and traditional Medicare billing. Skills: Proficiency in coding software and EHR systems. Strong understanding of medical terminology, anatomy, and physiology. Excellent attention to detail and analytical skills. Effective communication and teamwork abilities. About Walmart Global Tech . . Flexible, hybrid work Currently we are following Hybrid work environment and working in 06:00 pm to 02:30 am shift (07:30 CT to 04:00pm CT) . Benefits . Belonging . . Equal Opportunity Employer Walmart, Inc., is an Equal Opportunities Employer - By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing unique styles, experiences, identities, ideas and opinions - while being inclusive of all people. What youll do...

• Review and analyze medical records and documentation for vision, optical, and dental services.
• Assign appropriate CPT, HCPCS, ICD-10-CM, and CDT codes based on Medicare and payer-specific guidelines.
• Ensure coding accuracy and compliance with federal regulations and internal policies.
• Collaborate with billing and clinical teams to resolve coding discrepancies and denials.
• Maintain up-to-date knowledge of coding changes, Medicare rules, and payer policies.
• Participate in audits and quality assurance reviews.
• Support training and mentoring of junior coders as needed.

• Certification:
  • Mandatory: CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) from AAPC, or CCS (Certified Coding Specialist) from AHIMA.
  • Preferred: CPMA (Certified Professional Medical Auditor) or specialty certification in ophthalmology or dental coding (e.g., AAPC s COPC or CDAC).
• Experience:
  • Minimum 4-5 years of experience in medical coding, with at least 1 year in optical or dental coding preferred.
  • Familiarity with Medicare Advantage and traditional Medicare billing.
• Skills:
  • Proficiency in coding software and EHR systems.
  • Strong understanding of medical terminology, anatomy, and physiology.
  • Excellent attention to detail and analytical skills.
  • Effective communication and teamwork abilities.

Minimum Qualifications... Bachelor s degree in life sciences or related field with 4 years experience in pharmacy or optical billing OR 6 years experience in pharmacy or optical billing.
Certified Medical Coder (e.g., CPC, CCS, or equivalent). Preferred Qualifications... Experience in optical billing., Experience in pharmacy billing. Primary Location... Rmz Millenia Business Park, No 143, Campus 1B (1St -6Th Floor), Dr. Mgr Road, (North Veeranam Salai) Perungudi , India