Clinical Coding Specialist

7 days ago


Chennai, Tamil Nadu, India Lifelancer Full time

Company Overview:

Lifelancer is a talent-hiring platform connecting professionals with opportunities in life sciences, pharma, and IT.

Salary:

$60,000 - $80,000 per annum, depending on experience.

Job Description:

As a Clinical Coding Specialist, you will work with medical charts, assigning accurate codes while maintaining high productivity. Ensure deliverables meet quality standards and are ready to work in flexible shift timings.

Key Responsibilities:

  • Abstract pertinent information from patient medical records.
  • Validate assigned CPT/Modifiers/HCPCS/ ICD-10-CM/ICD-10-PCS codes accurately as per the Medical record documentation.
  • Remain current on medical coding guidelines and reimbursement reporting requirements.
  • Check chart assignments every day and report accurately.
  • Identify and apply the various payor guidelines related to multispecialty coding & billing guidelines and provide recommendations to avoid the denials upfront.
  • Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines.
  • Document audit findings and provide audit feedback to coders.
  • Summarize and validate audit findings and present the same with the client and cross-functional team periodically through email and calls.
  • Identify the coding error trends and document for Training / Feedback.
  • Identify the coding documentation improvement opportunities and highlight the same by provider which is presentable to client.
  • Participate in scheduled provider education calls to educate the providers from coding/documentation opportunities found as part of the audits Analyse the coding trends and documentation from billing and compliance perspective and provide recommendations to client.
  • Work out the audit submission plan by week and adhere to the committed timelines. Ensure the audit volumes completion timely.
  • Report work-related concerns to assigned Team Lead/AM.
  • Comply with HIPAA laws and regulations.
  • Participate in testing and training as required by the Company.

Required Skills and Qualifications:

  • EM IP/EM OP/ED Profee /ED Facility/SDS/Surgery Profee/IP_DRG coding experience with extensive ICD-10-CM/ICD-10-PCS knowledge.
  • Good command and effectively knowledge about Human anatomy, Physiology, Medical Terminology, and all systems of Human body.
  • Preferably at least 6-12 months experience in Coding audits.
  • Should have experience in prominent coding and billing software and coding tools.
  • Should be familiar with CPT, HCPCS, Modifiers, ICD-10-CM/ICD-10-PCS Medical necessity, LCD lookup, NCCI edits, CMS RVU, Bundling edits, MUE.
  • Certified from AAPC/AHIMA - CCS/CCS-P/CPMA/ CPC/COC/CEDC/CEMC certified.
  • Any Life science graduate - BAMS, BHMS, BDS, BPT/MPT, B Pharm/M Pharm, B.Sc./M.Sc (Nursing/Nutrition/Zoology/Biology/Biochemistry/ Microbiology/Biotechnology/Genetics/Physcian Assistant, etc).

Benefits:

  • Disciplined, Positive attitude, and Punctuality.
  • Strong interpersonal skills, good communication skills, and ability to effectively work with employees. Should have an aptitude to learn new things.
  • Ability to read, write, and perform basic computer operation.


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