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Location

Secunderabad | India

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Job description

Abstract pertinent information from patient medical records.
Validate assigned CPT/Modifiers/HCPCS/ ICD-10-CM codes accurately as per the Medical record documentation.
Remain current on medical coding guidelines and reimbursement reporting requirements.
Check chart assignments every day and report accurately.
Identify and apply the various payor guidelines related to multispecialty coding billing guidelines and provide recommendations to avoid the denials upfront

Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
Document audit findings and provide audit feedback to coders
Summarize and validate audit findings and present the same with the client and cross functional team periodically through email and calls
Identify the coding error trends and document for Training / Feedback
Identify the coding documentation improvement opportunities and highlight the same by provider which is presentable to client
Participate in scheduled provider education calls to educate the providers from coding/documentation opportunities found as part of the audits

Analyse the coding trends and documentation from billing and compliance perspective and provide recommendations to client
Work out the audit submission plan by week and adhere to the committed timelines. Ensure the audit volumes completion timely
Report work-related concerns to assigned Team coach/Team Lead.
Comply with HIPAA laws and regulations.
Participate in testing and training as required by the Company.
Responsible for analysing the medical charts, assigning the codes by maintaining high accuracy and achieving more than 100% productivity goals.
Ensure that the deliverables to the client adhere to the quality standards.
Ready to work in flexible shift timings.

Skill Set
EM IP/ EM OP/ED Profee / ED Facility / Anaesthesia / SDS / Surgery Profee / Radiology / Pathology / Ancillary coding experience with extensive ICD-10-CM knowledge.
Good command and effectively knowledge about Human anatomy, Physiology, Medical Terminology, and all systems of Human body.
Preferably at least 6-12 months experience in Coding auditing
Should have experience in prominent coding and billing software and coding tools.
Should be familiar with CPT, HCPCS, Modifiers, ICD-10-CM, Medical necessity, LCD lookup, NCCI edits, CMS RVU, Bundling edits, MUE edits.
Certified from AAPC/AHIMA - CCS/CCS-P /CPMA/CPC/COC/CEDC/CEMC certified

Qualifications:

Any Life science graduate - BAMS, BHMS, BDS, BPT/MPT, B Pharm/ M Pharm, B.Sc./M.Sc (Nursing / Nutrition / Zoology / Biology / Biochemistry / Microbiology / Biotechnology / Genetics / Physcian Assistant, etc).

Additional skills:

Disciplined, Positive attitude, and Punctuality.
Strong interpersonal skills, good communication skills, and ability to effectively work with employees. Should have an aptitude to learn new things. Ability to read, write, and perform basic computer operation. Must be a self -starter, highly motivated, organized, and able to prioritize.

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