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Medical Coding Specialist
1 month ago
• Possess strong awareness of the US healthcare process and its Revenue Cycle Management (RCM) system.
• Demonstrate sound knowledge in multispecialty denial management coding, working with payment integrity, claims adjudication, prepay and post-pay coding.
• Alternatively, possess sound knowledge in provider-side coding specialties such as Evaluation & Management (E&M), Surgery, Pathology, Anesthesia, Radiology, Oncology, Transportation, DME, etc.
Requirements:
• HEDIS certification is mandatory.
• Must be CPC or CCS certified (or any other equivalent certifications from AAPC / AHIMA).
• Should be a minimum undergraduate degree holder (10+2+3), preferably with a life science background (B.Sc., Bio-Chemistry / Bio-Technology, Microbiology, B. Pharma, BPT, BDS, etc.).
Preferred Qualifications:
• Consider HCC and HEDIS only candidates.
• Should have a strong understanding of medical coding principles and practices.