SME - Surgery Coding

Optum

6 - 11 years

6 - 10 Lacs

noida

Posted:1 day ago| Platform:

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Skills Required

surgery medical coding ccs coc cpc cic

Work Mode

Work from Office

Job Type

Full Time

Job Description

Design and deliver accuracy, knowledge update for coding professionals on Surgery coding practices, covering CPT, ICD-10-CM, HCPCS, NCCI edits.
Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into team communication.
Prepare accurate reports, maintain accurate records.
Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance.
Participate in coding calibration meetings and contribute to coding related discussions
Support coders with complex case resolution, documentation improvement education, and coding clarification
Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement

5+ years of experience in medical coding, with specialization in Surgery coding
Bachelors degree in health information management, life science or a related field is preferred
AAPC/AHIMA Certification is required: CPC, CIC, CCS, COC
In-depth understanding of Surgery and E/M guideline changes and CMS documentation.
Strong Knowledge of US healthcare RCM system is required
Familiarity with EMR/EHR, compliance standards, auditing platforms
Excellent attention to detail and accuracy in coding and documentation.
Proficiency in coding software and EHR systems (EPIC. eCAC, 3M, Cerner etc.)

Skills

Strong understanding of medical terminology, anatomy, and physiology
Excellent communication and presentation skills

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