Medical Coding Specialist

5 days ago


Chennai, Tamil Nadu, India beBeeCoder Full time

As a seasoned professional in medical coding, you will be responsible for reviewing and auditing outpatient and inpatient claims to ensure accurate reimbursement.

- Must have a minimum of 3+ years of experience in E&M medical record review, coding and reimbursement. A background in ICD-10 CM/PCS and CPT coding is essential.

- Strong knowledge of HCPCS codes and proficiency with Microsoft Windows operating systems and Office applications are also required.

- Excellent communication skills are necessary to effectively convey audit results and work well under minimal supervision.

- Ability to generate reports that present complex data in a clear and concise manner.

- Self-motivated and able to meet deadlines while maintaining positive relationships with internal and external teams.

- Contributes to the development of educational opportunities for staff and creates update trackers to keep the team informed of trends and changes.

- Performs focused retrospective audits and regular scheduled audits of individual coders.

Key Responsibilities:
  • Conducts thorough reviews of claims denied/rejected for coding, documentation and clinical validation.
  • Prepares comprehensive reports for management review and identifies trends.
  • Provides feedback and coaching on common error scenarios.
  • Develops and implements strategies to improve coding accuracy and efficiency.
Requirements:
  • Strong understanding of E&M coding guidelines and regulations.
  • Experience with claim denial and rejection analysis.
  • Proficiency in Microsoft Office and ability to learn new software quickly.
  • Excellent communication and interpersonal skills.
Preferred Qualifications:
  • Postgraduate degree in a relevant field such as healthcare administration or business analytics.
  • Professional certification in medical coding such as CCS or CPC.


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