CRC / CPC Medical Coder

5 days ago

India Skillra Technologies Full time

Key Responsibilities

Review clinical documentation (patient medical records) and assign appropriate diagnosis and procedure codes using ICD‑10‑CM, CPT (and HCPCS if applicable) guidelines. Conduct Risk Adjustment / HCC (Hierarchical Condition Category) coding: identify and code chronic conditions accurately. Perform chart audits to evaluate documentation insufficiencies and ensure they support code assignments. Ensure that coded data adhere to payer / regulatory guidelines and internal compliance standards. Resolve queries with providers or documentation authors when medical records are unclear or missing needed details. Maintain productivity and accuracy targets as set by the team / project (for example, % accuracy, turnaround time). Stay updated with coding changes, industry regulations, payer policies (e.g. CMS, Medicare Advantage etc.), and coding certification requirements. Participate in ongoing training and process improvement initiatives. (If applicable) Assist in denial management, claims adjudication, revenue leakage identification, and support

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