Why Choose a Career with Optum Global Solutions?
Optum is a global healthcare leader offering technology-enabled health services. Working here gives you exposure to international clients, advanced coding platforms, and continuous learning opportunities.
Freshers who join Optum get strong career growth, structured training programs, and the chance to learn directly from industry experts.
If you are passionate about the healthcare domain and want to build a future-ready career, this Walk-In Drive is the perfect starting point.
Job Role: Medical Coder – IPDRG (Inpatient DRG Coding)
IPDRG medical coding involves analyzing inpatient medical records, assigning accurate DRG codes, and ensuring compliance with international guidelines.
Freshers with the right certifications will be trained to work on US-based inpatient medical charts.
Eligibility Criteria
To apply for this walk-in drive, candidates should meet the following requirements:
✔ Experience
- Freshers only
✔ Certifications (Mandatory)
Candidates must hold at least one of these certifications:
- CPC (AAPC)
- CIC – Certified Inpatient Coder (AAPC)
- CCS – Certified Coding Specialist (AHIMA)
✔ Educational Qualification
Only the following degrees are eligible:
- B.Sc Nursing
- Biotechnology
- Microbiology
- Physiotherapy
- Pharmacist
- Anesthesiology
- BHMS
- BAMS
- Cardiac Perfusion Technician
✔ Work Location
- Chennai (Work from Office)
If you meet all the above criteria, this is a great opportunity to begin your medical coding career with a top-tier company.
Walk-In Drive Details
- Date: Monday, 8th December 2025
- Time: From 10:00 AM onwards
Venue
Tamarai Tech Park,
S.P. Plot No. 16–20 & 20A, South Block, Ground Floor,
Thiruvika Industrial Estate,
Inner Ring Road, Guindy, Chennai
Make sure you arrive on time to avoid long queues.
Documents to Carry
Please bring the following documents for a smooth verification process:
- Updated Resume
- Recent Passport Size Photo
- Photocopy of Aadhaar Card
- Photocopy of PAN Card
Tip: Keep both originals and photocopies ready.
Who Should Apply?
This walk-in is perfect for:
- Fresh graduates looking for a stable healthcare career
- Candidates with valid medical coding certifications
- Individuals passionate about IPDRG and inpatient coding
- Freshers who want to join a global organization with strong career growth
If you are a fresher with CPC, CIC, or CCS certification, this is one of the best opportunities of the year.
Benefits of Joining Optum
- Work with global healthcare clients
- Structured training and learning programs
- Career growth in Inpatient DRG coding
- Professional work environment
- Exposure to advanced coding platforms
📌 Final Thoughts
Optum Global Solutions is known for providing an excellent platform for freshers to start their journey in medical coding. The IPDRG domain is one of the most in-demand specialties in the coding industry, offering huge growth potential.
If you are eligible, don’t miss this walk-in drive—mark your calendar for 8th December 2025 and attend the interview at Chennai.
Share this information with your friends, classmates, and anyone searching for a medical coding job.
1. What is DRG?
Answer:
DRG stands for Diagnosis Related Group. It is a system that classifies inpatient hospital stays based on diagnoses, procedures, age, complications, comorbidities, and resources used.
2. What is the difference between IPDRG and OPDRG?
- IPDRG → Inpatient coding based on MS-DRG or APR-DRG.
- OPDRG → Outpatient coding based on APC groups.
Inpatient coding is more complex because charts are long, and DRG assignment depends on CC/MCC.
3. What is CC and MCC?
- CC: Complication/Comorbidity
- MCC: Major Complication/Comorbidity
Presence of CC or MCC increases hospital payment and DRG weight.
4. What is Principal Diagnosis?
According to ICD-10-CM, it is:
“The condition established after study to be chiefly responsible for the patient’s admission to the hospital.”
5. What is Principal Procedure?
The procedure performed for definitive treatment or which is most related to the principal diagnosis is considered the principal procedure.
6. Can signs and symptoms be coded in Inpatient Coding?
Yes, if the final diagnosis is not confirmed, signs/symptoms can be coded.
But if a confirmed diagnosis is documented, do not code symptoms.
7. What is the UHDDS definition?
UHDDS = Uniform Hospital Discharge Data Set
It defines Principal Diagnosis, Additional Diagnosis, and Procedures used in inpatient coding.
8. How do you identify the Principal Diagnosis in a long IP chart?
Look for:
- H&P (History & Physical)
- ED to IP transition notes
- DC Summary (most important)
- Physician’s “final diagnosis”
- Reason for admission
9. Can a coder assign a diagnosis based on lab values?
No. Coders cannot interpret labs.
You can code only when the physician documents the condition.
10. When can you code “history of” conditions?
Only when the provider documents:
- Past condition
- No longer active
- Still relevant for care or treatment
11. What is POA indicator?
Present On Admission
It tells whether the condition was present at the time of admission.
12. What is a Query? Why do coders query physicians?
A query is used when documentation is unclear, conflicting, or incomplete.
Used to clarify:
- Diagnosis
- Cause
- Relationship
- Specificity (Type, stage, organism)
13. What is the difference between Sepsis and SIRS?
- SIRS = systemic inflammatory response due to any cause
- Sepsis = SIRS due to infection
14. What is HAC?
Hospital Acquired Condition – complications that happen after admission.
Examples:
- Pressure ulcers
- Falls
- Postoperative infections
15. Can coders assign “suspected” or “probable” conditions in IP?
Yes.
In inpatient coding, uncertain diagnoses like suspected, probable, likely, rule out are coded as confirmed.
16. What is medical necessity?
The documentation must support that the treatment/procedure was required.
17. What types of procedures require OR (Operating Room) codes?
- Major surgeries
- Open/Endoscopic procedures
- Removal/repair/resection procedures
18. Name some common MCC conditions.
- Septic shock
- Acute respiratory failure
- Acute renal failure
- Gastrointestinal bleed
- Acute MI
- Severe malnutrition
19. Name some common CC conditions.
- Hyponatremia
- Dehydration
- Diabetes with complications
- Chronic kidney disease (CKD)
- Pneumonia (non-severe)
20. What is needed to assign a Sepsis DRG?
- Documented sepsis
- Possible organ dysfunction
- Treatment showing severity (IV antibiotics, ICU stay)
21. What is the difference between MS-DRG and APR-DRG?
- MS-DRG → Medicare Severity (used by Medicare)
- APR-DRG → All Patient Refined, used by many private payers
APR also has Severity of Illness (SOI) and Risk of Mortality (ROM).
22. What are exclusion and inclusion notes?
ICD-10 code mapping rules:
- Inclusion notes: Conditions included under a specific code
- Exclusion notes: Conditions that must be coded separately or not coded together
23. What do you do if diagnosis documentation conflicts?
Query the physician.
24. What are combination codes?
A single ICD-10 code that includes two diagnoses (e.g., Type 2 DM with CKD).
25. How do you code Diabetes with CKD?
- First: E11.22 – Type 2 DM with CKD
- Then: N18.x – CKD stage
26. How do you code Hypertension with Heart Failure?
- Use combination code I11.0
- Then: heart failure type (e.g., I50.9 unspecified)
27. What is the relevance of Discharge Summary in Inpatient coding?
It is the most reliable document to identify:
- Final diagnosis
- Procedure
- Condition status
- Complications
28. What is the coding rule for Acute on Chronic conditions?
Both codes must be assigned when documented (e.g., acute on chronic respiratory failure).
29. What is the function of grouper software?
It assigns the final DRG based on:
- Principal diagnosis
- Secondary diagnoses
- Procedures
- CC/MCC presence
- Age, sex, LOS