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Coding Specialist

2.00 to 6.00 Years   Navi Mumbai   03 Mar, 2023
Inventurus Knowledge Solutions Pvt Ltd
Job LocationNavi Mumbai
EducationNot Mentioned
SalaryNot Disclosed
IndustryIT - Software
Functional AreaEmbedded / System Software
EmploymentTypeFull-time

Job Description

    Position: Coding SpecialistProfile Description: The role involves the transformation of healthcare diagnosis, procedures, medical services, and equipment taken from medical record documentation, such as transcription of physicians notes, laboratory and radiologic results into universal medical alphanumeric codes. A Coding Specialist helps in ensuring the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. As an SME he/she would be responsible in mentoring new joinees during the OJT phase.Key Responsibilities:Responsible for coding charts per CMS guidelines to include CPT, ICD, HCPCS, Modifiers before submitting to clients.Analyse and interpret patient medical record and demographic information to identify and determine the amount and nature of billable services as per third party payer requirements.Research and resolve enquiries from clients and stakeholders about the right codes.Partner and support leaders on continuous process improvement opportunities to include quality improvement and productivity improvement initiatives.Keep oneself abreast with the latest updates and changes and/or new regulations in the coding domain through conferences, workshops, and in-house sessions.Generate reports on pending queues.Provide proactive support to analyse/review feedback reports.Qualifications:BPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is preferable.CPC/COC/CCS certification is a mustFunctional Competencies & Role Prerequisites:A minimum of 1 year and above experience in the coding domain which includes relevant speciality is a must.Should be open to work in rotational shifts.Knowledge of anatomy, physiology and medical terminologies is a mustShould be conversant with core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines).Good Comprehension SkillsDetail OrientationCoaching and Feedback SkillsTyping Skills - Minimum expectation of 30 - 35 words per minute would be preferredBehavioural Competencies:Team WorkAchievement OrientationCommunicationAnalytical Skills

Keyskills :
cpthcpcs coding

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