Medical Coding Specialist/ Auditor(Multispeciality)

ModMed Technologies India Private Limited

5 - 9 years

6 - 12 Lacs

hyderabad

Posted:2 weeks ago| Platform:

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Skills Required

denial coding cpc certified multispecialty coder medical coding

Work Mode

Work from Office

Job Type

Full Time

Job Description

Position Title RCM Coding Specialist

Audit the work done by Global Partners and provide timely feedback to teams to aid in the quick resolution of denied coding claims.
Review & work on Coding denials from the Payers.
Serve as a point of contact as coding SME for coding questions and clarifications for the MMI team.
Review claims assigned to practices due to Coding issues in order to find out any trends and will work with CAs if practice education/ intervention is required.
Analyse coding denials to determine trends where preventive measures can be placed, such as scrub edits, provider training, action plans, coder training, etc.
Participates in coding educational opportunities (webinars, internal training, etc.). Will keep updated on the Payer Guidelines impacting on supplying the Codes.
If needed, may assist in the production coding of clients of various specialties and scopes of coding.
Skills & Requirements:
5+ years of working experience in medical coding domain where minimum 2 years’ experience as SME/Quality in coding with Multi speciality experience
Certification Mandatory - CPC/CCS
Having strong knowledge in Gastro, Orthopaedics, Ophthalmology, Dermatology and Podiatry is preferred.
Hands on knowledge of Coding Denials on providing the resolution.
Good knowledge of Payer Guidelines to resolve the Denials related to Coding.
Good writing and Verbal communication in English
Can work independently during the India Night Shift
Can run reports and analyze the trends and scenarios. A strong hand in MS Excel will be a plus
Expert in supplying/auditing/ analyzing the CPT, ICD Codes along with appropriate Modifiers
CPC from AAPC or CCS from AHIMA
Bachelors or Masters in Science with a background of Anatomy

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