Chief Medical Code Analyst

4 days ago

Bikaner, Rajasthan, India beBeeMedicine Full time ₹ 8,00,000 - ₹ 12,00,000

Medical Coding Specialist Role

The accurate assignment of medical codes plays a crucial role in ensuring compliance and the quality of healthcare services. This position involves reviewing patient medical records, assigning relevant diagnosis and procedure codes, and conducting risk adjustment/HCC coding to identify chronic conditions accurately.

Main Responsibilities:

  • Review patient medical records to assign accurate diagnosis and procedure codes in accordance with established guidelines and regulations.
  • Conduct risk adjustment/HCC coding to ensure accurate identification and coding of chronic conditions.
  • Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
  • Maintain productivity and accuracy targets as set by the team or project.
  • Stay updated with coding changes, industry regulations, payer policies, and coding certification requirements.
  • Participate in ongoing training and process improvement initiatives to enhance job performance.
  • Ensure coded data adhere to payer/regulatory guidelines and internal compliance standards.

Required Skills and Qualifications:

  • Certification: CPC and/or CRC from recognized bodies (e.g., AAPC).
  • Educational Qualification: Graduate degree preferably in Life Sciences.
  • Experience: Typically 1-3 years of coding experience in U.S. healthcare/risk adjustment/HCC/multispecialty coding.
  • Strong knowledge of medical terminology, anatomy & physiology.
  • Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
  • Good analytical skills, attention to detail, ability to work under deadlines.
  • Effective communication skills: both written and verbal.

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