Lead Medical Coding Quality Specialist

TITLE : Senior Process Analyst – Medical Coding

REPORTS TO : Team Manager

DEPARTMENT : Huron Healthcare RCM Group

WORK HOURS : 5 days week and flexible to work in different shifts

LOCATION : Chennai & Bangalore

SUMMARY :

Responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client production goals and coding accuracy goals. Plans, directs, supervises and evaluates feedback workflows and coordinates activities across all coding staff assigned to the team.

Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role.

JOB DETAILS :

• Perform a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding
• Perform Coding for Outpatient and / or Inpatient records with a minimum of 96% accuracy and as per turnaround time requirements
• Exceeds the productivity standards for Medical Coding - as per the productivity norms for inpatient and / or specialty specific outpatient coding standards
• Maintains high degree of professional and ethical standards
• Focuses on continuous improvement by working on projects that enables customers to arrest revenue leakage while being in compliance with the standards
• Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences
• Experience in specialties such as IVR and Surgery is must.
• Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding
• Understand the client requirements and specifications of the project and code the charts accordingly
• Code records by following prescribed coding standards such as ICD-9 / ICD-10 and CPT
• Ensure patient information are correct and appropriate signatures on all medical records
• Assign appropriate medical codes to all diagnosis and services
• Follow client specific guidelines wherever applicable & working as per client updates and coding the charts accordingly
• Meet the productivity targets of clients within the stipulated time
• Ensure that the deliverables to the client adhere to the quality standards
• Prepare and maintain status reports

QUALIFICATIONS :