Medical Coding Professional

3 days ago

Hyderabad Bengaluru, India R1 RCM Global Private Limited Full time

Job Description Eligibility Criteria - 1 to 7+ Years of work experience in IP DRG medical Coding - Education Any Graduate, Postgraduate - Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified. - Strong knowledge of anatomy, physiology, and medical terminology - Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) - Able to work independently and willing to adapt and change as per business/process requirement. Responsibilities - Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. - Assigned and sequenced codes accurately based on medical record documentation. - Assigned POA indicators correctly. - Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims - Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. - Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. - Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

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