Key Responsibilities :
- Interpreting a patient's medical charts and determining the appropriate diagnostic and procedural codes.
- Ensure assigned codes meet all the compliance requirements so service payments are obtained by the insurance companies.
- Remaining up-to-date with the latest revisions to coding standards and federal regulations
- Work for missing documentation and highlighting documentation opportunities.
- Work with billing department for coding related rejections and denials (Only for the Denial Management Skillset)
- Interact with the Coding department at the client's end for any Coding related feedback OR support through the system as assigned
- Responsible for mentoring new joinees on the floor during the OJT phase
Qualifications :
BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a mustAHIMA / AAPC certification is a must (For experience candidates only)MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantageFunctional Competencies & Role Prerequisites :
A minimum of years and above experience in the coding domain which includes the relevant speciality is a must.Knowledge of anatomy, physiology and medical terminologies is a mustGood Comprehension SkillsDetail OrientationTyping Skills - Minimum expectation of words per minute.Knowledge of core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines) would be preferred.Knowledge of coding specialties would be preferredBehavioural Competencies :
Team WorkAchievement OrientationCommunicationAnalytical Skills