Inpatient Medical Coding Specialist

2 hours ago

Noida, Uttar Pradesh, India beBeeCoding Full time ₹ 15,00,000 - ₹ 28,00,000
Medical Coding Specialist - Inpatient (IP/DRG) Coding

As a Medical Coding Specialist, you will play a vital role in ensuring the accuracy and compliance of medical coding practices. This role is crucial for supporting revenue integrity for our clients.

Key Responsibilities:
  • Maintain a comprehensive working knowledge 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.
  • Demonstrate proficient knowledge of the Physician Query process and the ability to formulate compliant physician queries in accordance with OIG and UHDDS regulations.
  • Exhibit in-depth knowledge of MS-DRG, MDC, AP-DRG, and APR-DRG, with hands-on experience in handling MS-DRG cases.
  • Understand the significance of CC and MCC when utilized as secondary diagnoses.
  • Possess understanding and exposure to Clinical Documentation Improvement programs, working in tandem with MS-DRG initiatives.
  • Review inpatient and observation medical records to accurately determine and assign diagnosis codes and procedure codes with appropriate modifiers.
  • Maintain high levels of productivity and quality in all coding assignments.
  • Deliver accurate coding results, meet turnaround time requirements, and adhere to productivity standards set internally.
  • Stay up-to-date with industry developments by actively participating in projects and attending educational conferences.
Qualifications:
  • 1 to 4 years of hands-on experience in Medical Coding, specifically within an inpatient hospital setting.
  • Candidates holding CCS or CIC credentials with hospital coding experience are highly preferred.
  • Good knowledge of Medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles.
  • Hands-on experience with Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred.

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