Clinical Documentation Specialist

2 weeks ago


Tirupati, Andhra Pradesh, India beBeeMedicalCoder Full time ₹ 8,00,000 - ₹ 12,00,000

Job Title:

About the Role:

  • Key Responsibilities:

    • Review medical documentation and assign appropriate codes using ICD-10-CM, CPT, and HCPCS guidelines.
    • Conduct risk adjustment and HCC coding to accurately identify chronic conditions.
    • Perform chart audits to evaluate documentation and ensure it supports code assignments.
    • Ensure coded data comply with payer and regulatory guidelines.
    • Resolve queries with providers when medical records are unclear or missing details.
    • Maintain productivity and accuracy targets.
    • Stay updated on coding changes, industry regulations, and certification requirements.
    • Participate in training and process improvement initiatives.
    • Assist in denial management, claims adjudication, and revenue leakage identification.
    • Maintain patient confidentiality and security.

    Required Qualifications:

    • Certification: CPC and/or CRC from recognized bodies.
    • Graduate degree preferably in Life Sciences.
    • Typically 1-3 years of coding experience in U.S. healthcare.
    • Strong knowledge of medical terminology and anatomy.
    • Proficiency in ICD-10-CM, CPT, and HCPCS.
    • Good analytical skills and attention to detail.
    • Effective communication skills.
    • Computer skills: EHR, EMR tools, MS Office, and coding software.
    • Prior experience in facility setting coding.
    • Ability to mentor junior coders.


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