Medical Coding

4 weeks ago

Chennai, India R1 RCM Full time

About the role

Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.

We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.

Eligibility Criteria

  • 1 to 7+ Years of work experience in IP DRG medical Coding
  • Education Any Graduate, Postgraduate
  • Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified.
  • Strong knowledge of anatomy, physiology, and medical terminology
  • Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders)
  • Able to work independently and willing to adapt and change as per business/process requirement.

Responsibilities

  • Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures.
  • Assigned and sequenced codes accurately based on medical record documentation.
  • Assigned POA indicators correctly.
  • Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
  • Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
  • Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.
  • Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

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