High Salary Surgery, ENM

4 weeks ago

Hyderabad Chennai Bengaluru, India Axis Services Full time
Job Description

Key Responsibilities:

For Medical Coders:

- Review and abstract clinical documentation for surgical procedures, office visits (E&M), and inpatient encounters.
- Assign accurate ICD-10-CM, CPT, HCPCS, and MS-DRG/APR-DRG codes.
- Ensure 100% adherence to coding guidelines (CMS, AHA, AMA).
- Identify and escalate documentation deficiencies or ambiguities.
- Meet daily coding productivity and accuracy benchmarks.

For Quality Analysts:

- Audit coded charts across Surgery, E&M, and Inpatient DRG for accuracy and compliance.
- Provide constructive feedback and re-training to coders based on audit findings.
- Support client deliverables and ensure SLA adherence for quality.
- Collaborate with compliance, training, and operations teams to drive coding excellence.

Eligibility Criteria:

- Education: Any Life Science / Paramedical Graduate (B.Sc, BPT, B.Pharm, etc.)
- Certification (Mandatory): AAPC or AHIMA Certified (e.g., CPC, CCS, COC)
- Experience:
- 25 years of coding experience in Surgery, E&M, or Inpatient DRG
- Prior QA/Auditor experience preferred for QA roles
- Familiarity with MS-DRG, APR-DRG, POA indicators, and medical necessity guidelines

Key Skills:

- In-depth knowledge of ICD-10-CM, CPT, HCPCS, DRG grouping
- Strong clinical knowledge and ability to interpret operative/progress notes
- Accuracy in applying modifiers, units, and sequencing
- Proficiency in using encoders (3M, TruCode, Optum) and EHRs
- Excellent verbal and written communication for QA feedback or queries
- Strong understanding of NCCI edits, LCD/NCD guidelines, and payer-specific rules

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