Medical Billing Coder

3 weeks ago

Ahmedabad, India Ace Healthcare Solutions Pvt. Ltd. Full time

**Introduction**:
ACE Healthcare Solutions is seeking a full
- time experienced **Medical Billing Coder **for multiple accounts. This position will have the potential to grow within the company. We are looking for a positive person who is interested in being successful and helps take our company to the next level of service. The seasoned professional for this job needs excellent communication and computer skills including familiarity with various Medical Billing Software as well as Microsoft Office Suite to include Outlook, Word, and Excel. We specialize in Federally Qualified Health Center (FQHC) billing. This person will be responsible for receivables from insurance companies, patients, and any other parties billed by the facilities.

**Responsibilites**:

- Have advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
- The coder must have practical knowledge of the reimbursements systems, including but not limited to outpatients and specialties.
- Must have advanced knowledge of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
- The practical knowledge of medical specialties must include primary care, pediatrics, OB, infectious disease, pulmonary and revenue cycle management.
- Monitors the ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided.
- Maintains technical currency through continuing education and training opportunities.
- Reviews encounter and/or record documentation to identify inconsistencies, ambiguities, or discrepancies that could cause inaccurate coding, medico-legal re-percussions or impacts quality patient care.
- May perform assessments and examine records for proper sequence of documents, presence of authorized signatures, and enough data is documented that supports diagnosis, treatment administered, and results obtained. Develops and submits a written query in accordance with established guidelines to the provider to request clarification of provider documentation that is conflicting, ambiguous, or incomplete regarding any significant reportable condition or procedure.
- Monitors query submission, response times, and completion. May educate and provide feedback to providers and other clinical staff to resolve documentation issues to support coding compliance. Assigns accurate codes to encounters based upon provider responses to queries and reports all queries and responses in accordance with established guidelines.
- Provides or contributes to periodic reports and may provide limited assistance to the facility’s data quality, group practice managers, or other facility business functions.

**QUALIFICATIONS**:

- Possess either the Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CSS-P), this will satisfy the certification needed from the Professional Services Coding Certifications.
- Associate’s Degree or higher in Health Information Management; OR a certificate from an university in medical coding; OR at least 30 hours of university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR successful completion of an American Academy Health Information Management Association (AHIMA) coding certification
- Four years of medical coding and/or auditing experience in at least two or more medical, primary and ancillary specialties within the last 10 years. A minimum of one year of performance in the specialty is required to be considered qualifying.

Pay: ₹216,000.00 - ₹540,000.00 per year

**Benefits**:

- Food provided
- Health insurance
- Leave encashment
- Paid time off
- Provident Fund

Schedule:

- Flexible shift
- Monday to Friday
- Night shift

Supplemental pay types:

- Performance bonus

Ability to commute/relocate:

- Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work (preferred)
- Health insurance

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