Medical Coding Trainee
- Angel Genie Hiring
- 1 Positions
- Bengaluru
- 4 months ago
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Job Description
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Analyze and interpret healthcare concepts, medical coding, billing, and reimbursement guidelines to ensure accurate system configuration.
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Formulate edit requirements by conducting in-depth reviews of contracts, policies, and federal/state regulations.
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Translate editing logic into platform configurations with support from subject matter experts (SMEs).
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Collaborate with cross-functional teams to assess configuration needs and validate system outputs.
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Design and optimize prompts for Large Language Models (LLMs) to generate accurate and clinically relevant medical content.
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Utilize AI tools (e.g., Gemini, ChatGPT, and Claude) to assist in content creation, review, summarization, and validation.
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Assist in the development and maintenance of payment integrity policies and procedures.
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Review configurations to ensure completeness and accuracy based on coding and billing guidelines.
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Bachelor of Science in Nursing (B.Sc. Nursing)
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Pharmacist Degree (B.Pharm, M.Pharm, or PharmD)
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Life Science Degree (Microbiology, Biotechnology, Biochemistry, etc.)
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Medical Degree (MBBS, BDS, BPT, BAMS, etc.)
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Other Bachelor's Degrees with relevant experience
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0-1 years of experience in Payment Integrity, Medical Coding, or Denials Management within the US healthcare system.
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Familiarity with medical coding guidelines such as ICD, CPT, and modifiers.
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Candidates with certifications like CPC, CPMA, COC, CIC, CPC-P, or CCS from AHIMA or AAPC will be given preference.
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Additional weightage will be given for AAPC specialty coding certifications.
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Domain Expertise: Knowledge of US Healthcare Medical Coding, Medical Billing, Payment Integrity, and Revenue Cycle Management (RCM).
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Codeset Knowledge: Familiarity with CPT/HCPCS, ICD, Modifier, DRG, and PCS.
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Policy Knowledge: Understanding of policies like Medicare/Medicaid reimbursement, payer payment policies, and CMS policies.
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Technical Proficiency: Proficiency in Microsoft Word and Excel.
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Communication: Excellent verbal, written, and interpretation skills.
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Analytical Skills: Strong analytical, critical thinking, and problem-solving abilities.
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Other: Willingness to learn new tools, strong time management skills, and ability to meet deadlines.
Medical Coding Trainee
Job Category: Healthcare Job Type: Full-Time Job Location: Bangalore Experience: 0-1 years Salary: 3-6 LPA CTC
Position Summary
We are looking for a Medical Coding Trainee with 0-1 years of experience to join our payment integrity team in Bangalore. This is a vital role focused on converting healthcare guidelines into system-readable configurations. You will be responsible for comprehensive testing and collaborating with cross-functional teams to ensure the accuracy and quality of our medical policy content. This role is ideal for a passionate individual with strong analytical skills and a desire to contribute to the healthcare sector. The work mode for this position is Work from office.
Key Responsibilities
Required Qualifications
Education
One of the following degrees is required:
Experience
Certifications (Preferred)
Key Skills
Employement Category:
Employement Type: Full timeIndustry: OthersRole Category: OthersFunctional Area: Not SpecifiedRole/Responsibilies: Medical Coding TraineeContact Details:
Company: Angel Genie HiringLocation(s): Bengaluru
Keyskills: medical billing management revenue rcm
Angel Genie Hiring
Angel and Genie is a Bangalore Based Recruitment Firm focused on Talent Search across Sectors & accross locations in India. We specialize in CXO, Mid and Senior Level Talent Search. We are also strong at IT hiring, Talent Search for funded Startups and Premier Institutes Talent Search.Â
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