SME - Surgery Coding

5 days ago

Noida, Uttar Pradesh, India Optum Full time ₹ 12,00,000 - ₹ 36,00,000 per year
  • Design and deliver accuracy, knowledge update for coding professionals on Surgery coding practices, covering CPT, ICD-10-CM, HCPCS, NCCI edits.
  • Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into team communication.
  • Prepare accurate reports, maintain accurate records.
  • Responsible for tracking assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance.
  • Participate in coding calibration meetings and contribute to coding related discussions
  • Support coders with complex case resolution, documentation improvement education, and coding clarification

  • Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement

  • 5+ years of experience in medical coding, with specialization in Surgery coding

  • Bachelors degree in health information management, life science or a related field is preferred
  • AAPC/AHIMA Certification is required: CPC, CIC, CCS, COC
  • In-depth understanding of Surgery and E/M guideline changes and CMS documentation.
  • Strong Knowledge of US healthcare RCM system is required
  • Familiarity with EMR/EHR, compliance standards, auditing platforms
  • Excellent attention to detail and accuracy in coding and documentation.
  • Proficiency in coding software and EHR systems (EPIC. eCAC, 3M, Cerner etc.)

Skills

  • Strong understanding of medical terminology, anatomy, and physiology
  • Excellent communication and presentation skills

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