Senior Coder Profee HCC

Guidehouse

2 - 7 years

6 - 7 Lacs

chennai thiruvananthapuram

Posted:1 week ago| Platform:

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Skills Required

analytical skills san hcpcs excel coding staffing billing cms management recruitment

Work Mode

Work from Office

Job Type

Full Time

Job Description

Candidate should analyze patient information and accurately converting it into medical codes.
Ensuring coding accuracy to avoid billing denials.
Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time.
Maintaining current coding knowledge and credentials is also part of the role
Extensive knowledge of ICD-10-CM , CPT , and HCPCS Level II coding principles and guidelines.
Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing.

What you will need:

Minimum requirement of 2 yrs experience in a relevant coding specialty, with specific experience in HCC coding.
Mandatory certifications like CPC , CCS , COC , or CRC . CPC A must be removed
Good communication and analytical skills are required
Candidate should possess Graduation whiich is a mandatory requirement
Knowledge of NCCI edits and CMS guidelines .
Detail-oriented with good comprehension and typing skills
Ensuring coding accuracy to avoid billing denials.
Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time

What would be nice to have:

Proficiency in MS Office/excel
Experience in coding software or encoder (3M, Trucode, Optum)
Familiarity with HER/EMR systems (EPIC, Cerner, etc.,)
Knowledge of multiple coding specialties (ED, EM (OP&IP), etc.

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