Medical Coding Specialist
- Credense Medical
- 2 - 6 years
- Hyderabad
- 3 months ago
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Job Description
Key Responsibilities:
- Reviewing Medical Records: Analyzing patient charts, operative reports, and other documentation to identify relevant diagnoses, procedures, and other services provided.
- Assigning Codes: Applying ICD-10-CM codes for diagnoses and CPT codes for procedures and services.
- Ensuring Accuracy: Verifying that codes are accurate, complete, and compliant with coding guidelines and payer requirements.
- Maintaining Compliance: Adhering to all relevant coding and billing regulations, including HIPAA.
- Working with Billing Teams: Collaborating with billing staff to ensure proper claims submission and reimbursement.
- Staying Updated: Keeping abreast of changes in coding guidelines, payer policies, and industry best practices.
- Resolving Coding Issues: Addressing and resolving any coding-related issues or denials.
- Performing Quality Assurance: Conducting regular audits to ensure coding accuracy and compliance.
- Risk Adjustment Coding: In some cases, may be responsible for risk adjustment coding (e.g., HCC coding), which involves assigning codes that reflect the patient's health status and risk factors.
Required Skills and Qualifications:
- Medical Terminology: A strong understanding of medical terminology, especially in cardiology.
- Anatomy and Physiology: Knowledge of human anatomy and physiology, particularly related to the cardiovascular system.
- Coding Systems: Proficiency in ICD-10-CM, CPT, and potentially HCPCS coding systems.
- Coding Guidelines: Familiarity with official coding guidelines and payer-specific rules.
- Electronic Health Records (EHR): Experience with EHR systems and other relevant software.
- Attention to Detail: Meticulous attention to detail is crucial for accurate coding.
- Analytical Skills: The ability to analyze medical records and identify relevant information.
- Communication Skills: Strong verbal and written communication skills for interacting with colleagues and resolving coding-related issues.
- Certification: Relevant medical coding certifications (e.g., CPC, CCS) are often preferred.
- Experience: Experience with cardiology coding is highly desirable.
- Time Management: The ability to manage time effectively and prioritize tasks to meet deadlines.
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: Healthcare & Life SciencesRole Category: Health InformaticsRole: Health Informatics - OtherEmployement Type: Full timeContact Details:
Company: Credense MedicalLocation(s): Hyderabad
Keyskills: US Healthcare Cardiology Medical Coding Revenue Cycle Management Medicare CPT CPC ICD Cpt Coding Medicaid RCM
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Credense Medical
CREDENSE puts customers first. Our services are designed to maximize your organization's financial return. We prioritize transparency, dependability, and responsiveness to your needs. Our goal is to streamline and optimize your organization's operations. Unlike other companies, we don't push unnec...
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