Client Partner - Medical Coding, Cpc Certified Job in Access Healthcare Services Pvt Ltd.

Client Partner - Medical Coding, Cpc Certified

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Job Summary
  • In coding currently working on Medicus Outpatient coding & PAF gaps and Medicus ICD-10 code edits, UHC gap audits.

  • E&M coding (outpatient) Now working on Medicus Coding Outpatient and coded charts with CPT, ICD & HCPC codes. Earlier Did Q.C of the coded charts; coding documentation adherence, CPT, ICD & HCPC codes & based on all these checking the E&M level

  • HCC coding - Checking if documentation meets for given HCC codes or not checking them with HCC coding list. If more than 12 diagnosis, then creating sibling claims & then dropping them for further clearance.

  • UHC gap audits Checking RAF gaps on HBI portals to ensure the diagnosis are uploaded or not

  • Telemedicine Worked on Telemedicine as per guidelines provided by the client for checking the E&M level, Modifier & ICD & if anything lacks adding the same to the claim & dropping them for further clearance reporting all these to the client on weekly basis.

  • RAF gaps - Adding HCC related potential diagnosis in claim to calculate the risk analysis & reporting the same to the client.

  • Also, sometimes helping the account team in resolving coding related denials or coding issues to get the claim paid or get it processed to next level.


Skills Required :
  • Graduates in life sciences with 5 years experience in Medical Coding

  • Experience in specialties such as Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, Neurology and others

  • Experience in HCC coding preferred

  • Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding

  • CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus

  • Freshers with good knowledge in medical terminology, Human Anatomy and Physiology can apply

  • Current Coding certification with valid proof of certifications

  • Good knowledge of medical coding and billing systems, regulatory requirements, auditing concepts, and principles

Experience Required :

Fresher

Vacancy :

2 - 4 Hires