Senior Coder Profee HCC

Job Family:

Coding OP (India)

Travel Required:

None

Clearance Required:

None

What will you do:

• Candidate should analyze patient information and accurately converting it into medical codes.
• Ensuring coding accuracy to avoid billing denials.
• Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time.
• Maintaining current coding knowledge and credentials is also part of the role
• Extensive knowledge of ICD-10-CM, CPT, and HCPCS Level II coding principles and guidelines.
• Familiarity with reimbursement systems, federal, state, and payor-specific regulations and policies related to coding and billing.

What you will need:

• Minimum requirement of 2 yrs experience in a relevant coding specialty, with specific experience in HCC coding.
• Mandatory certifications like CPC, CCS, COC, or CRC. CPC 'A' must be removed
• Good communication and analytical skills are required
• Candidate should possess Graduation whiich is a mandatory requirement
• Knowledge of NCCI edits and CMS guidelines.
• Detail-oriented with good comprehension and typing skills
• Ensuring coding accuracy to avoid billing denials.
• Validating documentation to support E/M (Evaluation and Management) codes based on medical decision-making or time

What would be nice to have:

• Proficiency in MS Office/excel
• Experience in coding software or encoder (3M, Trucode, Optum)
• Familiarity with HER/EMR systems (EPIC, Cerner, etc.,)
• Knowledge of multiple coding specialties (ED, EM (OP&IP), etc.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

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