Medical Coding Specialist

1 week ago


Pune, Maharashtra, India Access Healthcare Services Full time
Job Overview

We are seeking a highly skilled Medical Coding Specialist to join our team at Access Healthcare Services.

Key Responsibilities
  • Maintains a thorough understanding of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guidelines.
  • Knowledge of Physician query process and ability to write physician queries in compliance with OIG and UHDDS regulations.
  • Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG.
  • Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis.
  • Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG.
  • Hands-on experience in any Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred.

In this role, you will be responsible for reviewing Inpatient and observation medical records, determining accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-Pand/or CPT) codes with appropriate modifiers in addition to reporting any deviations promptly.

Requirements
  • Graduates in life sciences with 1 - 4 years experience in Medical Coding.
  • Candidates holding CCS/CIC with hospital coding experience are preferable.
  • The coders will focus on undergoing certifications sponsored by AAPC and AHIMA as they mature with the process. Access healthcare has now partnered with AAPC to handhold in-house certification training for coders and sponsor examinations.
  • Good knowledge of medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles.

Salary: $60,000 - $80,000 per annum, depending on location and experience.



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