Clinical Documentation Specialist

5 days ago

Cochin, Kerala, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000
Medical Coding Professional

Key Responsibilities:

  • Coding and Compliance: Review clinical documentation to assign accurate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.
  • Risk Adjustment Expertise: Conduct Risk Adjustment / HCC coding to identify and accurately code chronic conditions.
  • Chart Audits and Quality Assurance: Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
  • Regulatory Adherence: Maintain adherence to payer / regulatory guidelines and internal compliance standards.
  • Provider Collaboration: Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
  • Productivity and Accuracy: Meet productivity and accuracy targets as set by the team / project.
  • Industry Knowledge: Stay updated with coding changes, industry regulations, and payer policies.
  • Ongoing Training: Participate in ongoing training and process improvement initiatives.

Required Qualification:

  • Certifications: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder).
  • Educational Background: Graduate degree preferably in Life Sciences.
  • Experience: Typically 1-3 years coding experience in U.S. healthcare / risk adjustment / HCC / multispecialty coding.
  • Technical Skills: Strong knowledge of medical terminology, anatomy & physiology; Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
  • Soft Skills: Good analytical skills, attention to detail, ability to work under deadlines.

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