Medical Coder – Emergency Department

4 weeks ago

Noida, India Access Healthcare Services Full time
Job Description

  • Review and analyze medical documentation for emergency department (ED) encounters to extract relevant information, such as diagnoses, procedures, and services rendered

  • Assign appropriate ICD-10-CM, CPT, HCPCS, and other applicable codes to represent the services provided accurately

  • Adhere to coding guidelines, including official coding guidelines, local coverage determinations, and other regulatory requirements

  • Ensure compliance with relevant coding and documentation standards, such as the International Classification of Diseases (ICD) coding systems, Current Procedural Terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS), and any other coding guidelines specific to the facility or payer

  • Collaborate with healthcare providers, physicians, and other relevant staff to clarify documentation and obtain additional information when necessary to support accurate coding

  • Review medical records for completeness, accuracy, and consistency, and work with the clinical team to ensure proper documentation of diagnoses, procedures, and services

  • Maintain a high level of accuracy and productivity in coding assignments to support timely billing and claims processing

  • Stay updated with changes in coding guidelines and regulations, attend relevant training and educational sessions to enhance coding skills and knowledge

  • Participate in internal and external coding audits to assess coding accuracy, identify areas for improvement, and implement corrective actions as needed.

  • Collaborate with compliance and audit teams to address any coding-related issues or discrepancies

  • Perform quality checks on coded data and claims to ensure compliance with coding standards and regulatory requirements

  • Monitor coding accuracy and resolve any identified coding errors or discrepancies

Job Requirements

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

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

  • Strong knowledge of ICD-10-CM, CPT, HCPCS, and other relevant coding systems and guidelines

  • Familiarity with emergency department procedures, terminology, and common diagnoses

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

  • Excellent attention to detail and analytical skills

  • Strong understanding of medical terminology, anatomy, and physiology

  • Knowledge of reimbursement methodologies, including Medicare and Medicaid guidelines

  • Ability to interpret and analyze complex medical records and documentation

  • Strong communication skills to effectively collaborate with various stakeholders

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