Job Location: Noida, India
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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Email us at: careers@accesshealthcare.com
Call us at: +91-99111-44584
