Healthcare Data Specialist

2 days ago

Erode, Tamil Nadu, India beBeeCoder Full time ₹ 6,00,000 - ₹ 14,00,000
Medical Coder Role

A Medical Coder plays a pivotal role in the healthcare industry, responsible for meticulously reviewing clinical documentation to assign accurate diagnosis and procedure codes.

  • Key Responsibilities:
  • Review medical records to ensure precise code assignments in accordance with ICD-10-CM, CPT, and HCPCS guidelines.
  • Conduct thorough risk adjustment/HCC coding to identify chronic conditions accurately.
  • Perform detailed chart audits to evaluate documentation sufficiencies and guarantee code accuracy.
  • Ensure adherence to payer/regulatory guidelines and internal compliance standards.
  • Resolve queries with providers or authors when medical records are unclear or missing details.
  • Maintain productivity and accuracy targets as set by the team.
  • Stay up-to-date with coding changes, industry regulations, and certification requirements.
  • Participate in ongoing training and process improvement initiatives.
Required Skills and Qualifications
  • Certification: CPC and/or CRC from recognized bodies.
  • Educational Background: Graduate degree in Life Sciences (e.g. B.Sc, B.Pharma, Biotechnology, Microbiology, Nursing, etc.).
  • Experience: Typically 1-3 years 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.
  • Excellent analytical skills, attention to detail, ability to work under deadlines.
  • Effective communication skills: both written and verbal.
  • Computer skills: comfortable using EHR/EMR tools, basic MS Office (Excel, Word), coding/auditing software.

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