Hiring Surgery Coder Noida

6 days ago

Noida, Uttar Pradesh, India Optum Full time

Job Description for the Position of Surgery Coder

JOB DESCRIPTION: Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines.

EXPERIENCE: Minimum 0.6 Months to 5 years in multispecialty Surgery and Observation coding.

EDUCATIONAL QUALIFICATION: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA.

PROFESSIONAL QUALIFICATION:

  • Hands-on experience in coding multispecialty Surgical and Observation services such as Dermatology, Gastroenterology, Cardiology, Otolaryngology, etc.
  • Sound knowledge in Medical Terminology, Human Anatomy & Physiology.
  • Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines.

ROLES AND RESPONSIBILITIES:

  • Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital.
  • Ability to code 4-6 charts per hour and meeting the standards for quality criteria.
  • Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines.
  • Expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines.
  • Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly.
  • An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity.
  • Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines.
  • Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records.
  • Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems.

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