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Facility and Professional Medical Coder

Facility and Professional Medical Coder

Doctus Data Services Private LimitedHyderabad, Republic Of India, IN
1 day ago
Job description

Emergency Services (ED) Single Pass Facility & Professional Medical Coder :

Position Summary :

The ED Single Pass Medical Coder is responsible for concurrent coding of facility and professional services using Epic’s Single Pass workflow. This role ensures accurate, compliant service-level reporting by leveraging Epic’s Facility Charge Calculator and integrated coding tools. The coder reviews, analyses, and assigns codes for ED encounters to support reimbursement, regulatory compliance, and documentation integrity.

  • Work Location : Multiple on-site work locations. Work from the office;

remote work is not available .

Key Responsibilities :

Epic Single Pass Coding Workflow :

  • Code facility and professional services concurrently using Epic’s Single Pass interface.
  • Assign CPT, HCPCS, and ICD-10-CM codes based on encounter documentation.
  • Validate charge capture using Epic’s Facility Charge Calculator.
  • Manual Coding for Complex Services :

  • Manually code infusions, injections, and procedures when automation is insufficient.
  • Review operative reports, infusion flowsheets, and nursing documentation for time-based and procedural accuracy.
  • Compliance & Audit Readiness :

  • Ensure coding accuracy per CMS, NCCI, AHA, and AMA guidelines.
  • Collaborate with CDI and audit teams to resolve documentation gaps and support credentialing.
  • Encounter Review & Data Validation :

  • Assign ICD-10-CM diagnoses and CPT / HCPCS procedures, including E / M levels and modifiers.
  • Abstract and validate diagnoses, procedures, and charges.
  • Query providers to clarify incomplete or ambiguous documentation.
  • Identify deficiencies impacting medical necessity.
  • Performance & Quality :

  • Maintain current knowledge of coding guidelines and regulatory updates.
  • Participate in audits, training, and quality improvement initiatives.
  • Meet defined productivity and accuracy benchmarks.
  • Ensure HIPAA compliance and data security.
  • Qualifications :

  • Education : Bachelor’s or Master’s degree in Life Sciences.
  • Certification : Active AAPC or AHIMA credential (e.G., CPC, CCS, CCS-P).
  • Experience : Minimum 4 years in facility and professional coding.
  • Communication : Strong documentation review and communication skills.
  • Technical Skills :

  • Proficient in Epic (EpicCare, Facility Charge Calculator, Single Pass workflows) or other EMRs (Cerner, Meditech, etc.).
  • Experience with Solventum (3M), Microsoft Nuance, Optum, etc.
  • Expertise in E / M leveling, charge capture, and facility billing.
  • Advanced knowledge of ICD-10-CM, CPT, and HCPCS.
  • Preferred Skills :

  • Advanced proficiency in Epic Single Pass and infusion coding logic.
  • Strong understanding of modifier usage and outpatient procedural coding.
  • Skilled in reviewing documentation for medical necessity.
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    Medical Coder • Hyderabad, Republic Of India, IN

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