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Ancillary Coder

1.00 to 2.00 Years   Chennai   09 Dec, 2020
Sisco Jobs
Job LocationChennai
EducationNot Mentioned
SalaryRs 3.5 - 4.0 Lakh/Yr
IndustryRecruitment Services
Functional AreaSales / BD
EmploymentTypeFull-time

Job Description

  • Verifies that all physician orders received are appropriate and complete, ensuring age and gender edits are satisfied on all codes received from physician office. Ensures all edit issues and charge code discrepancies are resolved before billing.
  • Assigns ICD9 diagnosis and procedure codes, CPT codes and modifiers as necessary to ensure accurate and complete coding as well as resolve any edits on account.
  • Consults Local Medical Review policies and/or National Coverage policies to determine if diagnosis provided necessitates test orders, consulting physician when necessary.
  • Interacts with registration staff and point of service departments to determine if Advanced Beneficiary Notice is required for the test being performed.
  • Interacts with physician offices to procure prescriptions and diagnostic information including medical necessity.
  • Documents detailed notes on account as required for accurate billing and adherence to coding compliance.
  • Maintains the confidentiality of employees, patients, administrative staff and medical staff information with no infractions.
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Keyskills :
diagnosisregistrationconfidentialitymedical reviewcodescptpharmaceutical medicinepsurmodifiersarisgconsultingmedical directorsmedical necessitypsursdiagnosticsadherenceadministrationsae reconciliationmedical cost containmentmedical

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