Medical Coding Specialist

10 hours ago

Bareilly, Uttar Pradesh, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title: Medical Coding Specialist

We are seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for reviewing clinical documentation and assigning appropriate diagnosis and procedure codes.

Key Responsibilities:
  • Coding Accuracy: Review patient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes in accordance with guidelines.
  • Risk Adjustment Coding: Identify and code chronic conditions accurately using Hierarchical Condition Category (HCC) coding.
  • Chart Audits: Evaluate documentation insufficiencies and ensure they support code assignments.
  • Compliance: Ensure coded data adhere to payer and regulatory guidelines and internal compliance standards.
  • Query Resolution: Resolve queries with providers or documentation authors when medical records are unclear or missing needed details.
  • Productivity Targets: Maintain productivity and accuracy targets as set by the project.
  • Coding Updates: Stay updated with coding changes, industry regulations, payer policies, and coding certification requirements.
  • Ongoing Training: Participate in ongoing training and process improvement initiatives.
Required Qualifications:
  • Certification: CPC (Certified Professional Coder) and/or CRC (Certified Risk Adjustment Coder) from recognized bodies.
  • Educational Qualification: Graduate degree preferably in Life Sciences.
  • Experience: Typically 1-3 years coding experience in U.S. healthcare/risk adjustment/HCC/multispecialty coding.
  • Knowledge: Strong knowledge of medical terminology, anatomy & physiology.
  • Coding Systems: Proficiency with ICD-10-CM, CPT, HCPCS, and other coding systems.
  • Analytical Skills: Good analytical skills, attention to detail, ability to work under deadlines.
  • Communication Skills: Effective communication skills, both written and verbal.

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