Senior Medical Coder

3 weeks ago


hyderabad, India Optum Full time

General Description The coder will support the coding area by accurately coding the medical records. Job is aligned to services that requires understanding of the medical terminology and ability to interpret physician and nurse notes.Requirements Should have minimum working experience of 1 to 5 years as medical Coder (Surgery)Should be a certified coder – AAPC / AHIMA – CCS/CPC/CPC-H/CCS-PGood in English communicationThorough knowledge of medical terminology, human anatomy/physiology, pathophysiologyWorking knowledge of Excel and Microsoft Office productsShould have a thorough understanding of the Medical record formatsShould have understanding of interpreting the medications and dosages Roles and Responsibilities Coding the medical record using the ICD-10 and CPT with desired accuracy as per SLAKnow and adhere to HIPAA regulationsRecognize, interpret and evaluate inconsistencies, discrepancies and inaccuracies in the medical data received and appropriately alert and/or query the responsible party and supervisorMeet quality and productivity standards and deadlines/turnaround timesParticipate in Quality Improvement ActivitiesPerforms other duties as assigned by supervisorReports a discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulationsAssigns and reports all other data elements required for Statewide Planning and Research Cooperative System (SPARCS) data collectionFor outpatient encounters, applies coding conventions and official coding guidelines approved by the Current Procedural Terminology (CPT) rules established by the American Medical Association (AMA), and any other official rules and guidelines established for use with the mandated outpatient procedure code setsAssigns appropriate discharge physician in the systemMaintains the minimum data standards for accuracy and productivity as per defined KRAs/Client SLAs


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