Coding Specialist

4 weeks ago

Hyderabad, India IKS Health Full time

Profile Description The role requires:

Retrieval and review of documentation in
medical records from various client EMR
systems.
Documentation analysis for completeness
and should be coded following the coding
compliance guidelines
Assignment of relevant diagnoses,
procedural codes, modifiers and HCPCS codes
as needed adhering to the general, payer
and client specifications.

Key Responsibilities Process:

Retrieve the correct medical record of a
patient, review & validate completeness of
documentation along with signatures, orders
for diagnostic tests etc.
Review and validate and/or assign/modify,
providers, Dates of service, CPT codes,
Diagnoses and modifiers by following general
coding guidelines, payer specifications and
client specifications if any.
Adhere to the standard operating
procedures and instructions related to the
process in coding.
Communicate if there are documentation
deficiencies or any other issues which
prevent compliant coding.
Be focused on self learning and update
his/herself with the latest updates of the
coding industry.
Keep their coding credentials active by
submitting their CEUs and renewing their
credentials.

People:
Be a good team player and display respect
for each and everyone.
Adhere to the organization policies and be a
good citizen of IKS.
Client:
Be customer centric in all aspects of work
and meet the production and quality targets
on a daily basis.
Be flexible to support client deliverables as
needed.

Financial: Meet their defined production and
quality targets daily.

Qualifications Minimum Education Qualification--Graduates

in any of the below disciplines:
Medical Graduates--MBBS, BHMS, BAMS,
BUMS, BDS
Paramedical graduates--BPT, B.Pharmacy,
Nursing, Lab/Radiology or any other
technicians
Life sciences
(Biotechnology, chemistry, zoology, Botany,
Microbiology, Genetics, etc)
Mandatory active coding certification such
as CPC, COC, CCS-P

Role Prerequisites Minimum graduation in any of the above

mentioned disciplines.
Should hold an active coding certification
(Example--CPC, COC or any specialization
credentials such as COBGC, CCS, CCS-P etc)

Hands-on- coding experience -
months in one or more coding lines of
business such as Ancillary coding, E&M,
Surgery, Denials, IP DRG.

Functional Competencies
(knowledge and skill required. Highlight the
MUST HAVES)

Must have strong:
Anatomy and Medical terminology
Pathophysiology
Knowledgeable about diagnoses,
procedures, Modifiers and /HCPCS codes and
the coding guidelines
Basic coding compliance guidelines.

Behavioral Competencies Must have strong:

Verbal and written communication skills
Analytical skills
Achievement orientation
Integrity
Research oriented

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