Key Responsibilities:
● Interpreting a patient's medical charts and determining the appropriate diagnostic and procedural codes.
● Ensure assigned codes meet all the compliance requirements so service payments are obtained by the insurance companies.
● Remaining up-to-date with the latest revisions to coding standards and federal regulations
● Work for missing documentation and highlighting documentation opportunities.
● Work with billing department for coding related rejections and denials (Only for the Denial Management Skillset)
● Interact with the Coding department at the client's end for any Coding related feedback OR support through the system as assigned
● Responsible for mentoring new joinees on the floor during the OJT phase
Qualifications:
● BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must
● AHIMA/AAPC certification is a must (For experience candidates only)
● MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage
Functional Competencies & Role Prerequisites:
● A minimum of 3 years and above experience in the coding domain which includes the relevant speciality is a must.
● Knowledge of anatomy, physiology and medical terminologies is a must
● Good Comprehension Skills
● Detail Orientation
● Typing Skills - Minimum expectation of 50 words per minute.
● Knowledge of core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines) would be preferred.
● Knowledge of 2 coding specialties would be preferred
Behavioural Competencies:
● Team Work
● Achievement Orientation
● Communication
● Analytical Skills
Top Skills
IKS Health Navi Mumbai, Maharashtra, IND Office
Raheja Mindspace, Airoli, Thane, Navi Mumbai, Maharashtra, India, 400708
