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0.0 - 2.0 years
0 - 0 Lacs
chennai, vellore, cuddalore
On-site
Job Opportunity: Medical Coder Contact: HR Anu: + 91 9500408540 Position: Medical Coder Trainee Location: Chennai, Bangalore, Hyderabad, Thrichy Shift: Day Shift Working Days: Monday to Friday (Weekends Off) Job Description: Medical Coding involves converting text information related to healthcare services into numeric diagnosis (ICD-10 CM) and procedure codes (CPT) used for billing and records. Requirements: Knowledge of Anatomy and Physiology Good communication and interpersonal skills Basic computer skills Passion for healthcare and precision in work Eligibility: Candidates with the following qualifications are eligible to apply: Nursing : B.Sc. Nursing, GNM, DGNM Allied Health & Life Sciences : Sc. / M.Sc. in Life Sciences, Biology, Zoology, Advanced Zoology, Biochemistry, Microbiology, Biotechnology, Plant Biotechnology Sc. / M.Sc. in Paramedical Sciences, Clinical Nutrition, Medical Laboratory Technology, Medical Sociology, Epidemiology, Molecular Virology, Medical Biochemistry, Medical Microbiology Sc. in Physician Assistant, Accident & Emergency Care Technology, Audiology & Speech Language Pathology, Cardiac Technology, Critical Care Technology, Dialysis Technology, Operation Theatre & Anesthesia Technology, Nuclear Medicine Technology, Respiratory Therapy, Radiology & Imaging Technology, Radiotherapy Technology, Medical Record Science, Optometry Technology Bachelor of Science in Optometry Pharmacy , Physiotherapy , Dentistry , Biomedical Engineering Vacancies: 10 Positions Salary & Benefits: Salary (Fresher): 14,000 18,000 per month Performance Incentives: Up to 5,000 Additional Perks: Pick-up and Drop Facility Free Food Corporate Standard Benefits
Posted 2 weeks ago
0.0 - 2.0 years
2 - 4 Lacs
Puducherry, Chennai, Vellore
Work from Office
Medical Coding is the process of converting Medical Records into numeric or alpha numeric by using ICD 10-CM, CPT & HCPCS Hr Priya -9600450980 Designation - Medical Coder Trainee Profile UG /PG in Allied Health Science , Life Science, Paramedical, Required Candidate profile Required Candidate profile Nursing Freshers Pharmacy Freshers Physiotherapy Physician Assistant Critical Care Optometry OT & AT Radiology Dialysis Technology MLT Cardiac Technology Emergency Care Perks and benefits Incentive Up to 5k Insurance Provident Fund
Posted 2 weeks ago
5.0 - 9.0 years
0 Lacs
chennai, tamil nadu
On-site
You will be responsible for planning, monitoring, directing, and evaluating QA production on a daily basis. Ensuring that daily schedules are met and communicating with the Director and Coding Operations if situations occur that hinder meeting deadlines. In case of system issues or emergencies delaying QA, you will implement measures/schedules to return to established schedules promptly. This should be done in close collaboration with each quality specialist to ensure client requirements are met satisfactorily. Your role will involve reviewing medical record documentation for accuracy in code assignment of primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. You will also sequence the diagnoses and procedures according to coding guidelines and ensure accurate MS-DRG/APC assignment when applicable. Abstracting and compiling data from medical records for appropriate reimbursement will be part of your responsibilities, especially for reviewing code assignments that are not straightforward or when documentation in the record is inadequate, ambiguous, or unclear for coding purposes. You will be expected to answer queries from the quality staff on a daily basis and escalate to the Director of Coding as necessary. Meeting agreed sampling targets and accuracy, keeping abreast of coding guidelines and reimbursement reporting requirements, documenting QA data on teams of QA/coders, and recording findings in the QA system for reporting to the client will also be part of your duties. Additional responsibilities include coordinating continuing education for all coding/QA teams, scheduling quality meetings with the QA and production staff, bringing identified concerns to Guidehouse's coding compliance management for discussion, actively participating in project launch sessions, and maintaining a thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques for effective application of ICD-9-CM and CPT-4 coding guidelines. You are required to have at least 5+ years of experience as an accredited medical coder (CCA, CCS, CPC, CPC-H) and possess key skills in Medical Coding. Profee Audit Experience and Good Analytical Skills would be considered nice-to-have qualifications for this role. Furthermore, you should understand and abide by the organization's information security policy to protect the confidentiality, integrity, and availability of all information assets and report any security incidents related to information promptly. Guidehouse offers a competitive compensation and flexible benefits package to create a diverse and supportive workplace. As an Equal Opportunity Employer, Guidehouse considers qualified applicants with criminal histories in accordance with applicable laws and regulations. If you require accommodation during the recruitment process, please contact Guidehouse Recruiting. Be aware that Guidehouse will not charge a fee or require a money transfer at any stage of the recruitment process and will not collect fees from educational institutions for participation in a recruitment event. If you encounter any unauthorized requests for money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline.,
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
hyderabad, telangana
On-site
You will be responsible for reviewing and analyzing claim form 1500 to ensure accurate billing information. Utilizing coding tools like CCI and McKesson will be essential to validate and optimize medical codes. Your expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery will be valuable. Proficiency in using CPT range and modifiers for precise coding and billing will be required, along with working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. As a suitable candidate, you should be a complete Graduate comfortable with signing a Retention Period. A minimum of 2 years of experience in physician revenue cycle management and AR calling is necessary. Basic knowledge of claim form 1500 and other healthcare billing forms, as well as proficiency in medical coding tools such as CCI and McKesson, will be expected from you. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery is desirable. Understanding of Clearing House systems like Waystar and e-commerce platforms is essential, along with excellent communication skills. You should be comfortable working in Night Shifts and ready to join immediately or within a 15-day notice period. Candidates need to be within a radius of 25 km from Sutherland, Manikonda Lanco Hills. A two-way cab facility will be provided within the radius of 25 km from Sutherland, Manikonda Lanco Hills, with shifts from 6:30 PM to 3:30 AM IST. The role involves complete night shifts (6:30 PM - 3:30 AM IST) with five days working (Monday - Friday) and Saturday and Sunday off. You need to be comfortable with Work From Office (WFO). In terms of perks and benefits, the role offers Night Shift Allowance, Saturday and Sunday fixed week offs, 24 days of leave in a year with up to Rs. 5000 incentives, and a self-transportation bonus up to Rs. 3500.,
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
You will be responsible for analyzing medical records and documentation to identify services provided during patient evaluations and management. Your main task will be to assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS. It is crucial to ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels. Staying up-to-date with relevant coding guidelines, including updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association, is essential. Adherence to coding regulations, such as HIPAA guidelines, is necessary to ensure patient privacy and confidentiality. Following coding best practices and maintaining a thorough understanding of coding conventions and principles are also key aspects of the role. Collaboration with healthcare professionals, including physicians, nurses, and other staff members, is required to obtain necessary information for coding purposes. You will need to communicate with providers to address coding-related queries and clarify documentation discrepancies. Working closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement is part of the job responsibilities. Conducting regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement is also a key aspect of the role. Participation in coding compliance programs and initiatives to maintain accuracy and quality standards is expected. 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,
Posted 2 weeks ago
0.0 - 3.0 years
1 - 3 Lacs
Siddipet
Work from Office
Responsibilities: * Ensure compliance with regulatory guidelines and industry standards. * Maintain confidentiality of patient information. * Accurately code medical procedures using CPC certification.
Posted 2 weeks ago
5.0 - 10.0 years
8 - 9 Lacs
Noida
Work from Office
HI All, We have a Urgent Opening For SME Medical Coder/Quality Analyst/Quality Auditor/Surgery Experience - 5+ years Specialization - SDS minimum 2+ years of experience we are looking Location - Noida Contact: 9810337650 mail: shweta@phebushr.com
Posted 2 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Pune
Work from Office
Dear Candidate, Greetings from Optum !!! We are hiring Experienced Certified Medical Coders who are interested to work in HCC Coding Projects. We are looking for candidates who can join us immediately or with less than 15 days of notice. Shift Timings - General Shift Experience - 1-6 Years (Experienced) Medical Coding Ceritifcation is mandatory (CRC, CPC, CIC, COC, CCS) Roles & Responsibilites - The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Qualification & Skills Required - Medical coding work experience of 1-6 years is required. HCC coding work experience is highly preferred. Candidates with experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards. Any one certification from AAPC/AHIMA is mandatory (CRC, CPC, CIC, COC, CCS) Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.
Posted 2 weeks ago
0.0 - 1.0 years
1 - 3 Lacs
Pune
Work from Office
Dear Candidate, Greetings from Optum!!! We are hiring freshers with Medical Coding Certification Shift Timings - General Shift Medical Coding Ceritifcation is mandatory (CRC, CPC, CIC, COC, CCS) Roles & Responsibilites - The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Qualification & Skills Required - Any one certification from AAPC/AHIMA is mandatory (CRC, CPC, CIC, COC, CCS) Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.
Posted 2 weeks ago
1.0 - 5.0 years
5 - 10 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non-Certified Medical coder with HHC/ Coder/QA IPDRG Coder/QA Radiology Coder/QA Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Radiology/CODER/SR.CODER/QA IPDRG Coder/QA HHC Coder/QA
Posted 2 weeks ago
1.0 - 5.0 years
4 - 9 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Looking for any Certified/Non Certified Medical coder with Surgery Coder/QA Denial Coder/QA EM IP or OP Coder/Sr.Coder & QA Preferably Immediate Joinees Required Candidate profile Looking for Certified/Non Certified Medical coder of below specialty of EM IP/OP And Surgery - QA/Sr.Coder/Coder and Denial Coder/QA
Posted 2 weeks ago
7.0 - 12.0 years
12 - 20 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Who Have Experience in Operations/Delivery Quality of Medical Coding Process. Team Handling Experience and Coordinating with Heads to fulfil the projects success. Any Two Dual Specialty/Multi Specialty Experience during their Career Experience. Required Candidate profile Who Have Experience in Operations of Medical Coding Process - 10's Who Have Experience in Quality/Auditing of Medical Coding Process - 8 No's Who have Sr Quality designation or Designated TL
Posted 2 weeks ago
10.0 - 20.0 years
15 - 30 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Should have experience in any Two Specialty specifically. Team Handling, Team Call. Heading Operation, Reporting and Analytics. Audit manage.... Required Candidate profile For Manager should be Assistant Manager designation for Sr.Manager should be a Manager Designation for Assistant Manager should be a TL Experience.
Posted 2 weeks ago
1.0 - 6.0 years
3 - 7 Lacs
Chennai
Work from Office
Greetings from R1RCM Hiring for surgery coders looking for SDS, Gastroenterology surgery ,General surgery, Cardiopulmonary Surgery , Cardio surgery location-Chennai/HYD minimum 1 to7 years of experience CPC/CCS certification is mandatory regular shift- 8.30 am to 5.30pm interview mode- virtual mode Benefits: Free pickup and drop facility will be provided Medical Insurance will be provided Contact person - Arthi D Contact mail - aduraimani@r1rcm.com/ 7094072919 If you are not interested, refer any of your friends who has the relevant experience
Posted 2 weeks ago
2.0 - 7.0 years
4 - 9 Lacs
Hyderabad
Work from Office
1- Reviewing and analyzing claim form 1500 to ensure accurate billing information 2- Utilizing coding tools like CCI and McKesson to validate and optimize medical codes 3- Familiarity with payer websites to verify claim status, eligibility, and coverage details 4- Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery 5- Proficiency in using CPT range and modifiers for precise coding and billing 6- Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions 7- Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing Skills Required: 1. Should be a complete Graduate 2. Minimum of 2 years of experience in physician revenue cycle management and AR calling 3. Basic knowledge of claim form 1500 and other healthcare billing forms 4. Holding experience in medical coding tools such as CCI and McKesson is an added advantage 5. Familiarity with payer websites and their processes 6. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery is also an added advantage 7. Understanding of Clearing House systems 8. Excellent communication skills 9. Comfortable to Work in Night Shifts. 10. Ready to join immediately or within 15 days notice period
Posted 2 weeks ago
1.0 - 6.0 years
2 - 5 Lacs
Bengaluru
Work from Office
We are looking for a skilled AR Caller to join our team at Prodat IT Solutions, responsible for medical billing and ensuring timely payments. The ideal candidate will have 1-6 years of experience in the field. Roles and Responsibility Manage and resolve outstanding accounts receivable issues. Conduct thorough reviews of patient records and billing information. Develop and implement effective strategies to improve cash flow. Collaborate with internal teams to ensure accurate and efficient billing processes. Identify and address denials by investigating root causes and resubmitting claims as necessary. Maintain accurate and up-to-date records of all interactions with patients and insurance companies. Job Requirements Strong knowledge of medical billing principles and practices. Excellent communication and problem-solving skills. Ability to work effectively in a fast-paced environment and meet deadlines. Proficiency in using computer software applications and technology. Strong analytical and organizational skills with attention to detail. Ability to maintain confidentiality and handle sensitive information with discretion.
Posted 2 weeks ago
5.0 - 10.0 years
8 - 9 Lacs
Mumbai
Work from Office
Supervise Production & Quality Maintain TAT as per client SLA Prepare reports for internal & external customers Daily team meetings Manage prohance utilization Monitor team members, provide coaching & feedback as required Maintain leave planner & manage attendance Identify EWS and minimize attrition Communicate with clients by emails & telephone as required Strong knowledge in ICD, CPT coding
Posted 2 weeks ago
1.0 - 6.0 years
6 - 7 Lacs
Chennai
Work from Office
Job_Description":" Hiring Experienced Surgery Trainers @ Chennai Minimum 1+ years of experience as Medical Coding Trainer or 5+ years of experience in Medical Coding with atleast 2 years in Auditing Any AAPC/AHIMA Certification (Mandatory) Medical Insurance for self and family Complementary Food, Snacks and Beverage Annual Salary Hikes and Recognition WFO - Chennai & Hyderabad ","
Posted 2 weeks ago
1.0 - 3.0 years
1 - 5 Lacs
Chennai
Work from Office
Medical Coder Gastroenterology (GI) Location: Chennai Work from Office Experience: 1 to 3 years in GI coding ( Gastroenterology) Qualification: Any Graduate or diploma Certification (CPC, COC, CCS, etc.) preferred , but not mandatory Medical Coder Cardiovascular Surgery Location: Chennai Work from Office Experience: 1 to 3 years in Cardiovascular Surgery coding Qualification: Any Graduate or diploma Certification (CPC, CIC, CCS, etc.) preferred , but not mandatory Contact : 9500084240, 9840921714 Mail : chnrecruiter@allzonems.com
Posted 2 weeks ago
1.0 - 3.0 years
1 - 5 Lacs
Chennai
Work from Office
Medical Coder Gastroenterology (GI) Location: Chennai Work from Office Experience: 1 to 3 years in GI coding or surgery coding ( same day , general ) Qualification: Any Graduate or diploma Certification (CPC, COC, CCS, etc.) preferred , but not mandatory Medical Coder Cardiovascular Surgery Location: Chennai Work from Office Experience: 1 to 3 years in Cardiovascular Surgery coding Qualification: Any Graduate or diploma Certification (CPC, CIC, CCS, etc.) preferred , but not mandatory Contact : 9500084240, 9840921714 Mail : chnrecruiter@allzonems.com
Posted 2 weeks ago
10.0 - 15.0 years
14 Lacs
Bengaluru
Remote
Role & responsibilities Audit and validate AI-generated CPT/ICD coding outputs for accuracy, completeness, and alignment with payer guidelines. Provide subject matter expertise to the ML development team, helping explain documentation requirements, billing logic, and workflow detailsparticularly within the Athena EHR platform. Identify edge cases and guide the creation of test cases and labeled datasets for model improvement. Perform quality assurance reviews and root-cause analysis of audit errors, offering structured feedback for continuous learning. Lead knowledge-sharing efforts across teams and support documentation of best practices. Preferred candidate profile
Posted 2 weeks ago
2.0 - 4.0 years
5 - 10 Lacs
Chennai, Bengaluru
Work from Office
Were Hiring | Medical Coders & QA Specialists | Immediate Joiners Preferred Open Positions Coder Roles (Min. 2 Years Experience in Speciality Required) Surgery Coder Up to 10 LPA | Chennai, Hyderabad, Bangalore IVR (Radiology) Coder Up to 7.5 LPA | Chennai EM Coder Up to 7.5 LPA | Chennai IPDRG Coder Up to 13 LPA | Chennai, Hyderabad, Bangalore QA Roles (Min. 4 Years Experience in Speciality Required) Surgery QA Up to 70K/Month | Chennai, Bangalore ENM QA Up to 60K/Month | Chennai, Bangalore ED Facility QA Up to 60K/Month | Chennai IPDRG QA Up to 16 LPA | Chennai, Hyderabad Key Requirements Relevant specialty experience as listed Valid certification (CPC, CCS, CIC, COC) Willingness to work from office (Chennai base preferred) Relieving letter from previous employer is a must Work from Office | Chennai, Hyderabad, Bangalore Notice Period: 0-30 Days | Immediate Joiners Highly Preferred Relieving Letter Mandatory Interested or know someone who fits? Share your portfolio/resumes to HR Ramadevi : 7842224022 Email: ramadevi.axisservices@gmail.com
Posted 2 weeks ago
1.0 - 3.0 years
3 - 5 Lacs
Vijayawada, Hyderabad
Work from Office
Experience : 1Yrs - 3Yrs Location : Hyderabad, Vijayawada Skills : HCC Coding, CPC, Medical Coding Note: CPC certification is must
Posted 2 weeks ago
1.0 - 5.0 years
1 - 6 Lacs
Vijayawada
Work from Office
Dear Candidate, Greetings from Optum !!! We are hiring Fresher & Experienced Certified Medical Coders who are interested to work in HCC Coding Projects. Shift Timings - General Shift Experience - 0-6 Years (Freshers & Experienced) Medical Coding Ceritifcation is mandatory (CRC, CPC, CIC, COC, CCS) Job Location: Chennai Note: Candidates must be willing to relocate to Chennai. Roles & Responsibilites - The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Qualification & Skills Required - Medical coding work experience of 0-6 years is required. HCC coding work experience is highly preferred. Candidates with experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards. Any one certification from AAPC/AHIMA is mandatory (CRC, CPC, CIC, COC, CCS) Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.
Posted 2 weeks ago
0.0 - 5.0 years
1 - 5 Lacs
Coimbatore
Work from Office
Dear Candidate, Greetings from Optum !!! We are hiring Fresher & Experienced Certified Medical Coders who are interested to work in HCC Coding Projects. Shift Timings - General Shift Experience - 0-6 Years (Freshers & Experienced) Medical Coding Ceritifcation is mandatory (CRC, CPC, CIC, COC, CCS) Roles & Responsibilites - The coder will evaluate medical records to verify the plan of care for chronic medical conditions. The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines. The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria. Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered. Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Qualification & Skills Required - Medical coding work experience of 0-6 years is required. HCC coding work experience is highly preferred. Candidates with experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards. Any one certification from AAPC/AHIMA is mandatory (CRC, CPC, CIC, COC, CCS) Good knowledge in Anatomy, Physiology & Medical terminology. Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards.
Posted 2 weeks ago
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