Coding Expert at IKS Health

Hyderabad, Telangana, India -

Full Time

Start Date

Immediate

Expiry Date

23 Jun, 26

Salary

0.0

Posted On

25 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Coding, CPT, ICD, HCPCS, Modifiers, Medical Record Analysis, Third Party Payer Requirements, Enquiry Resolution, Process Improvement, Quality Improvement, Productivity Improvement, Coding Updates, Report Generation, Auditing, Feedback Analysis, Training Support

Industry

Hospitals and Health Care

Description

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. ▪ Support team on an as required basis in audits on specific parameters. ▪ Provide proactive support to analyse/review feedback reports. ▪ Provide insights to the training team in planning training for the coders. ▪ Should take active participation in Innovation and Automation initiatives with Team managers. Qualifications: ● BPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a preferred. ● CCS/CPC/COC certification is a must Functional Competencies & Role Prerequisites: ● A minimum of 3 years and above experience in the coding domain which includes Multi speciality is a must. ● Should open to work in rotational shifts. ● Should be conversant with core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines). ● Good Comprehension Skills ● Detail Orientation, Coaching and Feedback Skills ● Typing Skills - Minimum expectation of 35 - 45 words per minute. Behavioral Competencies: ● Team Work ● Achievement Orientation ● Communication ● Analytical Skills.

Responsibilities

The role is responsible for coding charts using CPT, ICD, HCPCS, and Modifiers according to CMS guidelines, and analyzing medical records to determine billable services based on payer requirements. Additionally, the expert will resolve coding inquiries, support process improvement initiatives, and stay updated on the latest coding regulations.