Medical Coding Consultant

1 week ago

Pushkar, Rajasthan, India beBeeCoding Full time ₹ 8,00,000 - ₹ 15,00,000
Coding Specialist

Job Description:

We are seeking an experienced Coding Specialist to join our team. The successful candidate will be responsible for reviewing clinical documentation, assigning diagnosis and procedure codes, and conducting risk adjustment/HCC coding.

Key Responsibilities:

  • Review clinical documentation and assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
  • Conduct Risk Adjustment/HCC coding to identify and accurately code chronic conditions.
  • Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
  • Ensure coded data adhere to payer/regulatory guidelines and internal compliance standards.
  • Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
  • Maintain productivity and accuracy targets as set by the team/project.
  • Stay updated with coding changes, industry regulations, payer policies, and coding certification requirements.
  • Participate in ongoing training and process improvement initiatives.

Required Skills and Qualifications:

  • Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder) from recognized bodies.
  • Educational Qualification: Graduate degree preferably in Life Sciences.
  • Experience: Typically 1-3 years coding experience in U.S. healthcare/risk adjustment/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.
  • Communication skills: both written and verbal.
  • Computer skills: comfortable using EHR/EMR tools, basic MS Office, and coding/auditing software.
  • Experience with payer policies, Medicare Advantage, Medicaid, RADV audits.
  • Prior experience in facility setting (inpatient/outpatient) coding, or surgery/pathology specialties.
  • Ability to mentor/train junior coders.
  • Familiarity with coding compliance, appeals/denials handling.

Benefits:

This is an excellent opportunity to advance your career in a dynamic and supportive environment. We offer a competitive salary, comprehensive benefits package, and opportunities for growth and professional development.

Others:

We are an equal opportunities employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about coding, please submit your application.

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