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Coding Specialist

2 months ago

mumbai, India IKS Health Full time

Key Responsibilities:

● Interpreting a patient's medical charts and determining the appropriate diagnostic and procedural codes.

● Ensure assigned codes meet all the compliance requirements so service payments are obtained by the insurance companies.

● Remaining up-to-date with the latest revisions to coding standards and federal regulations

● Work for missing documentation and highlighting documentation opportunities.

● Work with billing department for coding related rejections and denials (Only for the Denial Management Skillset)

● Interact with the Coding department at the client's end for any Coding related feedback OR support through the system as assigned

● Responsible for mentoring new joinees on the floor during the OJT phase

Qualifications:

● BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must

● AHIMA/AAPC certification is a must (For experience candidates only)

● MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage

Functional Competencies & Role Prerequisites:

● A minimum of years and above experience in the coding domain which includes the relevant speciality is a must.

● Knowledge of anatomy, physiology and medical terminologies is a must

● Good Comprehension Skills

● Detail Orientation

● Typing Skills - Minimum expectation of words per minute.

● Knowledge of core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines) would be preferred.

● Knowledge of coding specialties would be preferred

Behavioural Competencies:

● Team Work

● Achievement Orientation

● Communication

● Analytical Skills