Senior Coding Specialist

1 week ago

Mumbai India IKS Health Full time

Job Description 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 in any of the below disciplines: . Medical Graduates--MBBS, BHMS, BAMS, BUMS, BDS . Paramedical graduates--BPT, B.Pharmacy, B.Sc Nursing, B.Sc Lab/Radiology or any other technician . Life sciences graduates--B.Sc (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. . Hands-on- coding experience 30 + 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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