Medical Coder

11 hours ago

Pune, India Suma Soft Pvt Ltd Full time

Job Summary: We are seeking a detail-oriented and organized Medical Coder to join our healthcare team. The ideal candidate will be responsible for translating medical diagnoses, procedures, and treatments into alphanumeric codes for insurance billing, record keeping, and regulatory compliance. The Medical Coder will ensure accuracy and efficiency in coding and work closely with healthcare providers to ensure proper documentation for reimbursement and statistical purposes.

Key Responsibilities:

  • Code Medical Records: Review and code clinical and procedural data from patient charts, records, and documentation, following industry coding standards such as ICD-10, CPT, and HCPCS.

  • Quality Control: Verify the accuracy, completeness, and clarity of medical coding, ensuring it complies with legal, regulatory, and insurance requirements.

  • Medical Terminology Application: Apply extensive knowledge of medical terminology, anatomy, and physiology to determine the correct codes for medical conditions, procedures, and treatments.

  • Compliance and Regulations: Maintain an understanding of updates to coding standards, payer guidelines, and HIPAA regulations to ensure compliance in all coding processes.

  • Documentation and Reports: Prepare reports on coding activities, trends, and compliance audits, providing accurate data to help with operational improvements and audits.

  • Collaboration: Communicate with healthcare clients for training and updates.

  • Maintain Coding Systems: Stay current with the latest coding guidelines, software tools, and technologies for optimal performance.

Required Skills and Qualifications:

  • Education: o High school diploma or equivalent. o Bachelor's degree in bio-science preferred.

  • Coding Certifications (Any 1 Mandatory from the following governing bodies):

AAPC - Certified Professional Coder (CPC), CIC, COC. AHIMA - Certified Coding Specialist (CCS), CCS-P.

Apprentice level certification is not eligible.

Experience: Oncology coding experience required. Minimum 3 years of experience in medical coding field. Experience with various coding guidelines (ICD-10, CPT, CMS, HCPCS, etc.) and knowledge of medical terminology, medical drugs, anatomy, and physiology a must.

Job Types: Full-time, Permanent

Pay: ₹35, ₹60,000.00 per month

Benefits:

  • Flexible schedule
  • Food provided
  • Health insurance
  • Leave encashment
  • Life insurance
  • Provident Fund

Work Location: In person

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