Client Partner - Medical Coding - Evaluation And Management (e&m Coding) Job in Access Healthcare Services Pvt Ltd.

Client Partner - Medical Coding - Evaluation And Management (e&m Coding)

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Job Summary
  • Validate all medical record documentation and charge information submitted by the physician to ensure compliance with coding/ billing regulations

  • Notify or verify with physicians on all the changes and charges made

  • Update changes after physicians acknowledgment

  • 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

  • Review coding database annually to re-file insurance claims, verify insurance coverage, and secure other information as required

  • Review insurance denials to analyze the causes and identify suitable solutions

  • Discuss coding challenges, changes, or reimbursements with a physician

  • Submit claims with appropriate documentation with OP notes and other information

  • Update claims appropriately when patient information has been changed or corrected after the charge has been posted

  • Maintains a high degree of professional and ethical standards

  • Focuses on continuous improvement by working on projects that enable 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


Skills Required :
  • Graduates in life sciences with 1 - 4 years experience in Medical Coding

  • Prior experience in E&M coding, insurance, and posting required

  • Experience in medical billing processes

  • 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

  • Knowledge of HIPAA standards

  • Prefer Certified Professional Coding certificate

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

Experience Required :

Fresher

Vacancy :

2 - 4 Hires