Client Partner - Medical Coding - Inpatient Coding - IP/DRG

Location

Thiruvananthapuram | India

Job description

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  Maintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guidelines
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  Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations
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  Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG
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  Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis
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  Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG
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  Hands-on experience in any of the Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred.
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  The coders assigned on the project would be reviewing Inpatient and observation medical records, determine and assign accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and/or CPT) codes with appropriate modifiers in addition to reporting any deviations .promptly
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  Maintains a high level of productivity and quality
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  Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time, keeping an elevated level of accuracy
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  The coders would be screened for reasonable comprehension and analytical skills that are considered a prerequisite for reviewing the medical documentation and delivering accurate coding.
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  The coders are expected to deliver an internal accuracy of 95%, meet the turnaround time requirements, meeting the productivity standards set internally per the specialty.
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  Maintains a high degree of professional and ethical standards
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  Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.
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  Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences. This includes refresher and ongoing training programs conducted periodically within the organization.

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  Graduates in life sciences with 1 - 4 years experience in Medical Coding
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  Candidates holding CCS/CIC with hospital coding experience are preferable.
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  The coders will focus on undergoing certifications sponsored by AAPC and AHIMA as they mature with the process. Access health care has now partnered with AAPC to handhold in-house certification training for its coders and sponsor for the examinations.
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  Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles

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