The Coding Expert is responsible for coding charts per CMS guidelines, analyzing medical records for billable services, resolving coding inquiries, and supporting continuous improvement initiatives in coding processes.
▪ Responsible for coding charts per CMS guidelines to include CPT, ICD, HCPCS, Modifiers before
submitting to clients.
▪ Analyse and interpret patient medical record and demographic information to identify and
determine the amount and nature of billable services as per third party payer requirements.
▪ Research and resolve enquiries from clients and stakeholders about the right codes.
▪ Partner and support leaders on continuous process improvement opportunities to include quality
improvement and productivity improvement initiatives.
▪ Keep oneself abreast with the latest updates and changes and/or new regulations in the coding
domain through conferences, workshops, and in-house sessions.
▪ Generate reports on pending queues.
▪ Support team on an as required basis in audits on specific parameters.
▪ Provide proactive support to analyse/review feedback reports.
▪ Provide insights to the training team in planning training for the coders.
▪ Should take active participation in Innovation and Automation initiatives with Team managers.
submitting to clients.
▪ Analyse and interpret patient medical record and demographic information to identify and
determine the amount and nature of billable services as per third party payer requirements.
▪ Research and resolve enquiries from clients and stakeholders about the right codes.
▪ Partner and support leaders on continuous process improvement opportunities to include quality
improvement and productivity improvement initiatives.
▪ Keep oneself abreast with the latest updates and changes and/or new regulations in the coding
domain through conferences, workshops, and in-house sessions.
▪ Generate reports on pending queues.
▪ Support team on an as required basis in audits on specific parameters.
▪ Provide proactive support to analyse/review feedback reports.
▪ Provide insights to the training team in planning training for the coders.
▪ Should take active participation in Innovation and Automation initiatives with Team managers.
Top Skills
Cms Guidelines
Cpt
Hcpcs
Icd
IKS Health Navi Mumbai, Maharashtra, IND Office
Raheja Mindspace, Airoli, Thane, Navi Mumbai, Maharashtra, India, 400708
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