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2.0 - 6.0 years
0 Lacs
karnataka
On-site
You will be responsible for accurate and meticulous medical coding, particularly focusing on CPT, ICD-10-CM, and modifier assignments. Your role will involve ensuring that the coding is precise and compliant with regulations to safeguard revenue, minimize denial rates, and uphold our fundamental values of prioritizing customers, showing respect, fostering learning, and maintaining clarity. Your expertise should include proficiency in medical coding encompassing CPT, ICD-10-CM, Modifiers, and NCCI Edits. Possessing certifications such as CPC (AAPC), CCS, COC, and Specialty Certifications will be advantageous for this role. Familiarity with EHR Systems like Athena One, eClinicalWorks, and Epic, as well as coding platforms such as 3M Encoder, TruCode, and CAC, will be essential. Furthermore, you should be adept at data analysis utilizing tools like Excel Pivot Tables, VLOOKUP, and have a basic understanding of Power BI. Your responsibilities will also include maintaining revenue integrity through risk identification, identifying upcoding and under-coding instances, and generating relevant reports. Effective denial management, which includes tracking denials, conducting root cause analyses, and providing education to providers, will be part of your duties. In addition to the technical skills, you should possess soft skills such as a keen attention to detail, excellent written and verbal communication abilities, self-motivation, a team-oriented and collaborative mindset, and effective time management with a commitment to meeting deadlines. This is an in-office role with no remote work option, and the designated shift is the Night Shift.,
Posted 2 days ago
2.0 - 7.0 years
3 - 6 Lacs
Hyderabad, Telangana, India
On-site
Key Responsibilities: Review medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes for Radiology, Surgery, and ED encounters. Code for both Facility and Profee components (split billing or combined claims). Apply appropriate modifiers, place of service (POS) codes, and adhere to NCCI edits . Ensure coding quality and compliance with CMS, AAPC/AHIMA, and client-specific guidelines. Collaborate with QA teams and respond to audits, queries, or coding clarifications. Meet or exceed productivity and accuracy standards (9598% coding accuracy) . Stay current on payer policies, CCI edits, and CPT/ICD updates . Qualifications: Education: Life Sciences / Paramedical / Allied Health Graduate Certifications (Mandatory): CPC / COC / CCS (AAPC or AHIMA certified) Experience: 36 years of coding experience in Radiology , Surgery , and ED Experience in both Facility & Profee coding is essential Key Skills Required: Strong knowledge of ICD-10-CM, CPT-4, HCPCS, and coding guidelines Solid experience with modifier usage , global periods , and split/shared visits Familiarity with encoder tools (3M, TruCode, Optum Encoder Pro) Experience using EMRs such as Epic, Cerner, Athena, or Meditech Excellent written communication and documentation skills
Posted 3 weeks ago
2.0 - 7.0 years
3 - 6 Lacs
Hyderabad, Telangana, India
On-site
Key Responsibilities: Review and code medical records related to: ENM (Evaluation and Management) Office visits, consultations, etc. Surgery General, orthopedic, cardiovascular, ENT, etc. Radiology Diagnostic imaging, interventional procedures. Apply correct ICD-10-CM, CPT, and HCPCS codes based on clinical documentation. Ensure compliance with official coding guidelines (AAPC/AHIMA), payer rules, and client SOPs. Query physicians when documentation is incomplete or unclear. Maintain daily productivity and coding accuracy standards. Work closely with QA team to understand and resolve feedback. Eligibility Criteria: Education: Any Graduate (Life Sciences, Paramedical, Nursing, BSc, etc.) Certification: AAPC or AHIMA certified (CPC, COC, CCS) Mandatory for freshers Experience: Freshers with training in ENM/Surgery/Radiology coding (with certification) 13 years of experience in multispecialty or specific coding areas Key Skills Required: Strong understanding of anatomy, physiology, medical terminology Familiarity with payer-specific guidelines and NCCI edits Experience with coding tools (3M, Optum EncoderPro, TruCode) is a plus Excellent attention to detail and time management Strong verbal and written communication for query resolution
Posted 3 weeks ago
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