2 - 6 years

0 Lacs

Posted:3 days ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

Job Description: You will be responsible for accurate coding of medical procedures, services, and consultations within the Revenue Cycle Management (RCM) industry. Your expertise in E&M coding and minor surgical procedure coding will be crucial in ensuring proper reimbursement for healthcare providers. Key Responsibilities: - E&M Coding: - Review medical documentation and assign appropriate E&M codes (99201-99499) based on the complexity of patient visits, including office consultations, follow-ups, and inpatient services. - Verify that the clinical documentation supports the assigned E&M code by assessing the history, examination, and medical decision-making. - Minor Surgery Coding: - Accurately code minor surgical procedures, such as excisions, biopsies, and other outpatient procedures, in compliance with CPT guidelines. - Review operative reports and clinical documentation to ensure correct and comprehensive coding of procedures. - Revenue Cycle Management Support: - Collaborate with billing teams to ensure that all services are properly coded and submitted for reimbursement. - Ensure that codes are appropriately assigned to facilitate timely and accurate claims processing. - Address and resolve coding issues that may result in claim denials or delayed reimbursements. - Work with other departments (e.g., insurance verification, collections) to resolve any discrepancies in codes or claims. - Compliance and Auditing: - Conduct audits on coding practices to ensure consistency, accuracy, and compliance with healthcare regulations. - Review coding reports and trends, recommending corrective actions or improvements as needed. Qualifications Required: - Previous experience in E&M and minor surgery coding. - Proficient understanding of billing practices and insurance guidelines. - Certification in medical coding (e.g., CPC) preferred. - Strong attention to detail and analytical skills. (Note: Provident Fund is available as a benefit for this position.),

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