Medical Coder

Naia Software Solutions India Pvt. Ltd.

Currently we are hiring medical coders with experience in E&M Medical coding for Hyderabad location.

Please find below the job description:

Should have minimum 1-3 years of experience in E&M out-patient Medical Coding.

Coding certification is mandatory from AAPC/AHIMA.

Designation: Medical Coder

Qualification: Any Graduate.

Shift Timing: Preferably night shift

Location: Hyderabad

USA based company with office in Hyderabad since 2011. Naia Corporation parent company has been in business since 1997.

*Position Summary:

*Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes procedures for providers to ensure proper reimbursement. Verifies that each medical record contains appropriate documentation to justify the selected principal diagnosis to identify comorbid conditions, complications, and procedures to use for DRG assignment. Maintains an accurate case mix index from which administration makes critical management and strategic planning decisions.

Essential Functions:

Audits records to ensure proper submission of services prior to billing on pre-determined selected charges

Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided

Supplies correct HCPCS code on all procedures and services performed

Supplies correct CPT code on all procedures and services performed

Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies

Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies

Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.

Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.

Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.

Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code

Role Competencies & Qualifications:

Federal laws and regulations affecting coding requirements

Principles, practices and methods of current coding certificate required

Knowledge of billing practices required, FQHC billing preferred

Knowledge of medical records, EHR required

Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.

Knowledge of ICD-CM coding principles under Prospective Payment System.

Familiarity within medical terminology, anatomy, and physiology.

Must have good math skills and effective communication skills.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.

Salary:

Provide Health Insurance, Paid Holiday, Provident Fund

Industry:

Medical / Healthcare / Hospitals

Job Type: Full-time

Pay: ₹40, ₹50,000.00 per month

Benefits:

• Health insurance
• Leave encashment
• Paid sick time
• Paid time off
• Provident Fund
• Work from home