Role & responsibilities
Analyze operative reports and surgical note documentation to accurately assign CPT, HCPCS, ICD10CM, and inpatient ICD10PCS codes (with modifiers) to ensure compliant and optimized billing MedEvolve+15The College of Health Care
Audit surgeon notes and supporting clinical records for completeness, specificity, and alignment with coding standards, resolving coding gaps and ensuring accurate reimbursement
Integrate surgical charge capture into claims, verify pre-authorizations and insurance eligibility, then submit claims following RCM protocols to support revenue maximization The College of Health Care Professions.
Monitor claim rejections / denials, perform root-cause analysis, correct coding issues, resubmit claims, and reconcile payments to maintain clean accounts receivable PMC+11
Work closely with surgeons, clinical staff, and RCM / billing teams to clarify documentation, drive clinical documentation improvement (CDI), and stay up-to-date on coding rules and payer guidelines
Maintain productivity and quality standards with coding benchmarks, track KPIs (e.g. error rates, turnaround times), participate in audits, and produce reports to inform revenue cycle optimization
Preferred candidate profile
Interested candidates can share their resume to / Mobile No
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Coder Surgery • India