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Senior Coding Specialist

Senior Coding Specialist

Aquity Solutions

3 - 10 years

6 - 7 Lacs

hyderabad

Posted:4 days ago| Platform:

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Skills Required

hcpcs nursing microbiology coding pharmacy zoology botany radiology life sciences medical records

Work Mode

Work from Office

Job Type

Full Time

Job Description

Profile Description The role requires:

* Retrieval and review of documentation in
medical records from various client EMR systems. * Documentation analysis for completeness and should be coded following the coding compliance guidelines * Assignment of relevant diagnoses, procedural codes, modifiers and HCPCS codes as needed adhering to the general, payer and client specifications.

Key Responsibilities Process:

*Retrieve the correct medical record of a
patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. * Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. *Adhere to the standard operating procedures and instructions related to the process in coding. * Communicate if there are documentation deficiencies or any other issues which prevent compliant coding. * Be focused on self learning and update his/herself with the latest updates of the coding industry. * Keep their coding credentials active by

submitting their CEUs and renewing their
credentials.

People:
* Be a good team player and display respect for each and everyone. * Adhere to the organization policies and be a good citizen of IKS. Client: * Be customer centric in all aspects of work and meet the production and quality targets on a daily basis. *Be flexible to support client deliverables as needed. Financial: Meet their defined production and quality targets daily.

Qualifications Minimum Education Qualification--Graduates

in in any of the below disciplines:
* Medical Graduates--MBBS, BHMS, BAMS, BUMS, BDS * Paramedical graduates--BPT, B.Pharmacy, B.Sc Nursing, B.Sc Lab/Radiology or any other technician * Life sciences graduates--B.Sc (Biotechnology, chemistry, zoology, Botany, Microbiology, Genetics, etc) * Mandatory active coding certification such as CPC, COC, CCS-P

Role Prerequisites * Minimum graduation in any of the above

mentioned disciplines
* Should hold an active coding certification.

* Hands-on- coding experience 30 + months
in one or more coding lines of business such as Ancillary coding, E&M, Surgery, Denials, IP DRG.

Functional Competencies
(knowledge and skill required. Highlight the MUST HAVES)

Must have strong:
* Anatomy and Medical terminology * Pathophysiology *Knowledgeable about diagnoses, procedures, Modifiers and /HCPCS codes and the coding guidelines * Basic coding compliance guidelines.

Behavioral Competencies Must have strong:

* Verbal and written communication skills
* Analytical skills * Achievement orientation * Integrity * Research oriented

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Senior Coding Specialist