Clinical Data Analyst

7 days ago

Hyderabad Secunderabad Telangana, India beBeeCoding Full time ₹ 2,00,000 - ₹ 6,00,000
Medical Coding Specialist Job Description

We are seeking an experienced Medical Coding Specialist to join our team. As a key member of our organization, you will be responsible for accurately assigning codes for medical services and procedures.


Key Responsibilities:
  • Minimum 1 year of Medical Coding Experience.
  • Strong Knowledge on coding appropriate ICDs, CPTs and HCPC Codes.
  • Strong Knowledge to ensure accurate assignment of codes based on coding and customer guidelines.
  • Hands-on Knowledge in CCI edits, LCD, NCD coverage determination etc.
  • Strong Knowledge in Medical terminology, Human Anatomy and Physiology
  • Knowledge of coding all CPT's related to Simple Procedures - Both Pro/Fac
  • Laceration repair
  • Incision and Drainage
  • Foreign body removal
  • Splint
  • Fracture reduction
  • Nail Procedures
  • Epistaxis
  • Cerumen Impaction removal
  • Moderate Sedation Procedure
  • Blood Transfusion
  • Foley/Straight Cath Placement
  • Bladder Scan
  • Fracture Care
  • Intraosseous Line Placement
  • TPA for Stroke
  • PICC Lines
  • Colposcopy
  • Burn care
  • Critical care guidelines for both Professional/Facility, Carve out time guidelines
  • Critical Care drugs/ Procedures – Both Pro/ Fac
  • CPR
  • Intubation
  • Central Line Placement
  • Cardioversion
  • Chest tube insertion
  • Thoracotomy
  • Tracheostomy Insertion
  • Pacemaker Insertion
  • ED Facility - Infusions + Injections:
  • Hierarchy of injection, infusion, and Hydration guidelines
  • Vaccination coding
  • Drugs given for procedures like CPR, intubation cannot be captured separately
  • Hydrations will be captured at any rate unless documented as TKO or KVO. Do not capture if listed as TKO or KVO
  • Hydration given at the same time as a blood transfusion/Infusion of any drug- The hydration charge will not be captured unless the documentation supports the administration of the hydration was in a different site.
  • Dx to cover medical necessity of hydration
  • Modifiers:
  • Sound Knowledge on modifiers (XU, 52,53, 76, 77.)
  • Location specific modifiers
  • Strong in level of service determination with 1995 & 1997 documentation guidelines and should have proficiency in ED Profee/Facility ACEP point calculation.
  • Strong knowledge in Observation service coding

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