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0 years

3 - 5 Lacs

Posted:6 hours ago| Platform: GlassDoor logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

  • Review Patient Records: Examine clinical documents, including physician notes, lab reports, and test results, to determine the correct medical codes.
  • Code Diagnoses and Procedures: Apply ICD-10 codes for diagnoses and CPT/HCPCS codes for procedures to ensure correct coding of services rendered.
  • Ensure Accuracy: Ensure that coding is accurate, up-to-date, and compliant with insurance company and regulatory standards.
  • Documentation and Compliance: Maintain accurate records for auditing purposes and comply with legal and ethical standards, including confidentiality regulations (HIPAA in the U.S.).
  • Billing Support: Work with healthcare providers and medical billers to ensure that claims are processed efficiently and that reimbursements are received.
  • Claim Management: Identify and resolve issues or discrepancies in coding that may lead to rejected claims.
  • Stay Current with Coding Updates: Keep up-to-date with new codes, billing guidelines, and changes in medical regulations to maintain proficiency.
  • Communicate with Healthcare Providers: Collaborate with physicians, nurses, and other healthcare professionals to clarify patient diagnoses and procedures.

Skills & Qualifications:

  • Certification: Certification from recognized bodies such as the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is often required.
  • Knowledge of Coding Systems: Familiarity with ICD-10, CPT, and HCPCS coding systems, as well as an understanding of medical terminology and anatomy.
  • Attention to Detail: High level of accuracy when assigning codes, as errors can lead to insurance disputes or payment delays.
  • Analytical Skills: Ability to review and analyze medical records and translate them into appropriate codes.
  • Computer Skills: Proficiency in coding software, medical record systems, and billing software.
  • Communication Skills: Good written and verbal communication skills to interact with other healthcare professionals and ensure accurate coding.

Preferred Qualifications:

  • Knowledge of insurance policies, claim filing, and reimbursement processes.
  • Familiarity with healthcare regulations and standards, including HIPAA

Job Types: Full-time, Permanent

Pay: ₹30,644.55 - ₹41,929.61 per month

Benefits:

  • Health insurance
  • Paid sick time
  • Provident Fund

Work Location: In person

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