Medical Coder - Evaluation & Management (e&m) Job in Access Healthcare Services Pvt Ltd.
Medical Coder - Evaluation & Management (e&m)
- Noida, Gautam Buddha Nagar, Uttar Pradesh
- Not Disclosed
- Full-time
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
Fresher
2 - 4 Hires