Medical Coding Auditor Pacific Global Inc.

2.0 - 6.0 years

0 Lacs

gautam buddha nagar, uttar pradesh

On-site

As a Radiology Coding Auditor at Pacific BPO, an Access Healthcare company in Noida, India, you will be responsible for auditing the coding of medical records to ensure accurate diagnosis and CPT code assignments according to ICD-10 and CPT-4 coding systems. Your role will involve coding and auditing outpatient and/or inpatient records with a minimum accuracy rate of 96 percent within specified turnaround time requirements. To excel in this position, you must exceed productivity standards for medical coding, maintain professional and ethical standards, and focus on continuous improvement initiatives that help customers prevent revenue leakage while adhering to compliance standards. Participation in coding team meetings, educational conferences, and ongoing skill development activities is essential to stay updated with coding practices. Applicants for this role should hold a graduate degree in life sciences with 2-4 years of experience in medical coding, specifically in Radiology specialty. Prior experience in medical coding audit and physician education, particularly in Radiology Coding, will be advantageous. Proficiency in coding procedures, medical terminology in an ambulatory setting, and familiarity with CPT-4, ICD-9, ICD-10, and HCPCS coding is required. Having certifications such as CCS, CPC, CPC-H, CIC, COC from AAPC or AHIMA, along with current coding certification, will be beneficial. A strong understanding of medical coding and billing systems, regulatory requirements, auditing concepts, and principles is necessary to succeed in this role. If you are inspired, talented, and motivated to grow in healthcare revenue cycle management, Pacific BPO welcomes you to join their team and contribute to their vibrant culture.,

Posted 6 days ago

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Medical Recs Coding & Transc Sr. Analyst NTT Data

6.0 - 8.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

In these roles, you will be responsible for: Coding and abstracting information from provider-patient medical records and hospital ancillary records per facility and/or state requirements. Assigning appropriate billing codes based on medical documentation using CPT-4 and/or ICD-9 coding guidelines. Querying physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. Monitoring unbilled accounts report for outstanding and/or un-coded encounters to reduce accounts receivable days. Following strict coding guidelines within established productivity standards. Addressing billing/coding related inquires for providers as needed, U.S. only. Attending meetings and in-service training to enhance coding knowledge, compliance skills, and maintenance of credentials. Maintaining patient confidentiality. Required Skills for this role include: Looking for candidate who can be a SME cum Auditor in Surgery Inpatient coding. Will be an individual Co ordinator role working with supervisor and Manager 6+ years of experience working with CPT and ICD-9 coding principles, governmental regulations, protocols, and third-party requirements regarding medical billing. 3+ years of experience analyzing medical records in multi-specialty disciplines such as E/M, Inpatient Surgery. Should have sound knowledge in coding Denials and providing appropriate code to avoid further denials Should possess strong subject knowledge specific to the specialty and perform analysis on the documentation deficiency. Should be in a position of managing a team and handling client communications. Ensure there is no compromise on the deliverables. AAPC or AHIMA certification is mandatory. Ability to work regularly scheduled shifts from Monday-Friday 7:30 AM to 5:30 PM IST, should be flexible in extending based on customer requirement Permanent Work from Office.

Posted 1 month ago

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