Medical Coding E/M OP (Night shift )

Job Family Summary:

• The Coder must undertake a thorough review of applicable documentation to assess the documentation requirement and determine the appropriate ICD-10-CM/ CPT/HCPCS codes to be reported, in conjunction with applicable version of ICD/ CPT Official Guidelines
• Must observe AMA/ CMS code of ethics while assigning relevant code sets. Reviewing patient medical records and assigning appropriate ICD/CPT/HCPCS codes with relation to medical information and insurance coverage for services rendered.
• Applying medical coding guidelines with relevant code sets. Aware of denials and non-payment of services in relation incorrect coding.
• Understand client specific coding guidelines and periodic updates to process the claims in timely manner.
• Should be able to process multispecialty aspects of Out Patient coding (e.g. E&M, Surgical coding, etc.).
• Analyze and communicate coding and billing related issue of the healthcare provider to the team leaders.
• Have complete knowledge of medical coding and billing guidelines
• To assist with documentation review and raise queries on completeness of patient medical records

Job Requirements:

• Bachelor in Life Sciences or from Para-medical background
• Active coding certification with updated membership either from AAPC or AHIMA
• Minimum of 2 years of experience in medical coding and good knowledge of claims processing.
• UAE experience and multi-specialty coding experience will be an added advantage

Key Performance Indicators (KPI's)

• Meeting the set targets for processing the OP claims
• Meet the client set KPI for quality and initial rejection rates
• Maintain 95% of quality in coded claims.

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