Hiring - Medical Coding Auditor - Surgery Specialty

3 weeks ago

Hyderabad Chennai Bengaluru, India EXL Full time
Job Description

Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines.

Preferred candidate profile

- Bachelor of Science Degree
- Applicant must have current CPC, CCA, CCS, RHIT or RHIA
- Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification.
- Specialty worked: Outpatient surgery, basic injection and infusion knowledge and IVR, Radiation oncology
- APC Facility coding is an added advantage
- Excellent written and verbal skills.
- Good comprehension of CPT guidelines, use of modifiers and CPT assistant.
- Experience with Orthopedic surgical coding would be great
- 3 years experience as certified/credentialed coder coding/auditing

DESIRABLE CRITERIA:

- Auditing experience on complex surgery coding.
- Knowledge in Microsoft outlook/excel/word.

ADDITIONAL AND ESSENTIAL RESPONSIBILITIES:

- Follow every aspect of SOP without fail
- Complete received Audits with Quality
- To achieve Quality and production target
- Follow project related protocolsand instructions
- Escalate issues, identify trends.
- Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis.
- Check with Manager /TL in case of clarifications
- All emails from Manager should be answered promptly without fail
- Ensure compliance of entire team for HIPAA,OIG

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