Medical Coder – Evaluation

4 weeks ago

Noida, India Access Healthcare Services Full time
Job Description

  • Analyze medical records and documentation to identify services provided during patient evaluations and management

  • Assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations (e.g., CPT, ICD-10-CM, HCPCS)

  • Ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels

  • Stay up-to-date with relevant coding guidelines, including updates from regulatory bodies (e.g., Centers for Medicare and Medicaid Services, American Medical Association)

  • Adhere to coding regulations, such as HIPAA (Health Insurance Portability and Accountability Act) guidelines, to ensure patient privacy and confidentiality

  • Follow coding best practices and maintain a thorough understanding of coding conventions and principles

  • Collaborate with healthcare professionals, including physicians, nurses, and other staff members, to obtain necessary information for coding purposes

  • Communicate with providers to address coding-related queries and clarify documentation discrepancies

  • Work closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement

  • Conduct regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement

  • Participate in coding compliance programs and initiatives to maintain accuracy and quality standards

Job Requirements

To be considered for this position, applicants need to meet the following qualification criteria:

  • Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC)

  • In-depth knowledge of Evaluation and Management coding guidelines and principles

  • Proficient in using coding software and Electronic Health Record (EHR) systems

  • Familiarity with medical terminology, anatomy, and physiology

  • Strong attention to detail and analytical skills

  • Excellent communication and interpersonal skills

  • Ability to work independently and as part of a team

  • Compliance-oriented mindset and understanding of healthcare regulations

  • Strong organizational and time management abilities

  • Continuous learning mindset to stay updated on coding practices and changes

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