Senior Coding Specialist

2 days ago

Mumbai, Maharashtra, India IKS Health Full time ₹ 5,00,000 - ₹ 15,00,000 per year
Description

Profile Description The role requires:

* Retrieval and review of documentation in
medical records from various client EMR
systems.
* Documentation analysis for completeness
and should be coded following the coding
compliance guidelines
* Assignment of relevant diagnoses,
procedural codes, modifiers and HCPCS codes
as needed adhering to the general, payer
and client specifications.

Key Responsibilities Process:

*Retrieve the correct medical record of a
patient, review & validate completeness of
documentation along with signatures, orders
for diagnostic tests etc.
* Review and validate and/or assign/modify,
providers, Dates of service, CPT codes,
Diagnoses and modifiers by following general
coding guidelines, payer specifications and
client specifications if any.
*Adhere to the standard operating
procedures and instructions related to the
process in coding.
* Communicate if there are documentation
deficiencies or any other issues which
prevent compliant coding.
* Be focused on self learning and update
his/herself with the latest updates of the
coding industry.
* Keep their coding credentials active by

submitting their CEUs and renewing their
credentials.

People:
* Be a good team player and display respect
for each and everyone.
* Adhere to the organization policies and be a
good citizen of IKS.
Client:
* Be customer centric in all aspects of work
and meet the production and quality targets
on a daily basis.
*Be flexible to support client deliverables as
needed.
Financial: Meet their defined production and
quality targets daily.

Qualifications Minimum Education Qualification--Graduates

in in any of the below disciplines:
* Medical Graduates--MBBS, BHMS, BAMS,
BUMS, BDS
* Paramedical graduates--BPT, B.Pharmacy,
B.Sc Nursing, B.Sc Lab/Radiology or any other
technician
* Life sciences graduates--B.Sc
(Biotechnology, chemistry, zoology, Botany,
Microbiology, Genetics, etc)
* Mandatory active coding certification such
as CPC, COC, CCS-P

Role Prerequisites * Minimum graduation in any of the above

mentioned disciplines
* Should hold an active coding certification.

* Hands-on- coding experience 30 + months
in one or more coding lines of business such
as Ancillary coding, E&M, Surgery, Denials, IP
DRG.

Functional Competencies
(knowledge and skill required. Highlight the
MUST HAVES)

Must have strong:
* Anatomy and Medical terminology
* Pathophysiology
*Knowledgeable about diagnoses,
procedures, Modifiers and /HCPCS codes and
the coding guidelines
* Basic coding compliance guidelines.

Behavioral Competencies Must have strong:

* Verbal and written communication skills
* Analytical skills
* Achievement orientation
* Integrity
* Research oriented

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