0 - 3 years

2 - 5 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

  • Review clinical documents, medical records, and physician notes to assign appropriate codes for diagnoses, procedures, and treatments based on established coding standards (ICD-10, CPT, HCPCS).
  • Ensure codes used for billing are accurate and comply with insurance and government payer requirements.
  • Collaborate with healthcare providers and other departments to clarify diagnoses and procedures, ensuring proper code assignment.
  • Stay updated on coding guidelines, regulations, and changes in healthcare billing practices.
  • Submit coded claims to the billing department or insurance companies for reimbursement.
  • Conduct audits to ensure accurate coding and prevent compliance issues.

Requirements and skills:

  • Certification in medical coding (eg, CPC, CCS, or CCA) or equivalent training.
  • Solid understanding of medical terminology, anatomy, physiology, and healthcare procedures.
  • High attention to detail and accuracy in assigning codes.
  • Familiarity with payer-specific guidelines, insurance rules, and government regulations (eg, Medicare, Medicaid).
  • Experience with electronic health records (EHR) and coding software.
  • Ability to work independently and manage time effectively.
  • Strong communication skills for collaborating with medical staff.

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