1 - 2 years

2 - 5 Lacs

Posted:-1 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Role & responsibilities:

  • Review and analyse

    Evaluation & Management (E&M)

    medical records for accurate coding.
  • Assign appropriate

    CPT, ICD-10, and HCPCS

    codes based on provider documentation.
  • Validate MDM, time-based coding, and documentation elements according to

    CMS & AMA guidelines

    .
  • Ensure accuracy, completeness, and compliance with payer-specific requirements.
  • Meet daily/weekly

    productivity and quality benchmarks

    .
  • Collaborate with QA and Team Leads for feedback and clarification.
  • Identify documentation gaps and suggest improvements to enhance chart accuracy.
  • Maintain strict

    HIPAA compliance

    and confidentiality of patient information.
  • Stay updated with changes in coding guidelines and E&M audit rules.

Preferred candidate profile:

  • 1-2 years of experience

    in

    E&M medical coding

    (mandatory).
  • Strong understanding of

    E&M levels, MDM concepts, HPI, ROS, Exam & Time-based coding

    .
  • Proficiency in

    ICD-10-CM & CPT

    guidelines.
  • Certification such as

    CPC / CCS

    is an added advantage.
  • Good analytical thinking, documentation skills, and attention to detail.
  • Ability to meet productivity and quality targets consistently.
  • Strong communication skills and willingness to work in a fast-paced RCM environment.
  • Knowledge of US healthcare workflow, compliance, and audit standards.

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