Healthcare Data Analyst

3 days ago

Alwar, Rajasthan, India beBeeCoding Full time ₹ 10,00,000 - ₹ 15,00,000
Medical Coding Specialist

Job Description:

We are seeking a Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.

Key Responsibilities:

  • Reviewing clinical documentation to assign accurate codes
  • Conducting Risk Adjustment/Hierarchical Condition Category (HCC) coding to identify chronic conditions
  • Performing chart audits to evaluate documentation insufficiencies
  • Ensuring coded data adheres to payer/regulatory guidelines and internal compliance standards
  • Resolving queries with providers or documentation authors when medical records are unclear or missing details
  • Maintaining productivity and accuracy targets as set by the team/project
  • Staying updated with coding changes, industry regulations, payer policies, and coding certification requirements

Required Skills and Qualifications:

As a Medical Coding Specialist, you will require certification as a Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) from recognized bodies.

A graduate degree preferably in Life Sciences is required. Experience typically ranges from 1-3 years in U.S. healthcare/risk adjustment/multispecialty coding.

Strong knowledge of medical terminology, anatomy & physiology, and proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems are essential.

Benefits:

This role ensures confidentiality and security of patient data while working with electronic health records, MS Office, and coding/auditing software.

Others:

The successful candidate will have excellent analytical and communication skills, with the ability to work accurately and efficiently in a fast-paced environment.

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