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Medical Coder/QA Coimbatore

3 months ago

Coimbatore South, India Kaarlo Training & HR Solutions Pvt. Ltd. Full time
Job Description
  • The HCC Coder is responsible for accurately coding and validating diagnoses and procedures for Hierarchical Condition Categories (HCC) coding.
  • This role plays a vital role in ensuring proper documentation and coding, which directly impacts reimbursement and compliance.
  • The HCC Coder ensures compliance with coding guidelines, conducts audits, and provides education and support to the healthcare team.


Requirements Analyse medical records to identify and assign appropriate ICD-10 codes for HCC coding
Review documentation to ensure accurate capture of all relevant diagnoses and procedures
Conduct comprehensive assessments of medical record documentation to ensure compliant coding
Collaborate with healthcare providers and medical coders to clarify documentation or obtain additional information as needed
Verify the accuracy and completeness of coded data, ensuring adherence to coding guidelines and conventions
Perform regular audits of coding quality, identifying trends, and recommending process improvements
Stay updated on coding guidelines, HCC coding updates, and reimbursement policies to ensure compliance.
Provide feedback and education to healthcare providers and staff on coding best practices and documentation requirements.
Maintain a high level of accuracy while meeting productivity targets and deadlines.
Collaborate with revenue cycle management and billing teams to resolve codingrelated billing denials and ensure timely reimbursement
Maintain confidentiality and adhere to all HIPAA regulations and privacy guidelines.
Cr Proficiency with coding software, electronic health records (EHR), and other relevant software applications

BenefitsCareer Growth

Requirements
Analyse medical records to identify and assign appropriate ICD-10 codes for HCC coding Review documentation to ensure accurate capture of all relevant diagnoses and procedures Conduct comprehensive assessments of medical record documentation to ensure compliant coding Collaborate with healthcare providers and medical coders to clarify documentation or obtain additional information as needed Verify the accuracy and completeness of coded data, ensuring adherence to coding guidelines and conventions Perform regular audits of coding quality, identifying trends, and recommending process improvements Stay updated on coding guidelines, HCC coding updates, and reimbursement policies to ensure compliance. Provide feedback and education to healthcare providers and staff on coding best practices and documentation requirements. Maintain a high level of accuracy while meeting productivity targets and deadlines. Collaborate with revenue cycle management and billing teams to resolve codingrelated billing denials and ensure timely reimbursement Maintain confidentiality and adhere to all HIPAA regulations and privacy guidelines. Cr Proficiency with coding software, electronic health records (EHR), and other relevant software applications