Urgent Coding Specialist Wanted

1 week ago


Lucknow, Uttar Pradesh, India beBeeMedicalCoder Full time ₹ 9,00,000 - ₹ 12,00,000
Job Summary

We are seeking a Medical Coder to join our team. The successful candidate will be responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines.

  • Coding and Risk Adjustment: Conduct risk adjustment/HCC coding and identify chronic conditions accurately.
  • Chart Audits and Compliance: Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments.
  • Query Resolution and Training: Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
  • Coding Changes and Updates: Stay updated with coding changes, industry regulations, payer policies (e.g., CMS, Medicare Advantage), and coding certification requirements.
  • Denial Management and Payment Integrity: Assist in denial management, claims adjudication, revenue leakage identification, and support payment integrity.
Required Qualifications
  • Certification: Certified Professional Coder (CPC) and/or Certified Risk Adjustment Coder (CRC) from recognized bodies.
  • Educational Qualification: Bachelor's degree preferably in Life Sciences.
  • Experience: 1-3 years coding experience in U.S. healthcare/risk adjustment/HCC/multispecialty coding.
  • Skills: Strong knowledge of medical terminology, anatomy, and physiology. Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
  • Aptitude: Good analytical skills, attention to detail, ability to work under deadlines. Effective communication skills for interacting with providers, auditors, etc.


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