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Coding Specialist at IKS Health

Navi Mumbai, maharashtra, 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

Medical Coding, Diagnostic Codes, Procedural Codes, Compliance, Documentation, Denial Management, Anatomy, Physiology, Medical Terminologies, Comprehension Skills, Detail Orientation, Typing Skills, NCCI Edits, CMS Guidelines, Team Work, Analytical Skills

Industry

Hospitals and Health Care

Description

Key Responsibilities: ● Interpreting a patient's medical charts and determining the appropriate diagnostic and procedural codes. ● Ensure assigned codes meet all the compliance requirements so service payments are obtained by the insurance companies. ● Remaining up-to-date with the latest revisions to coding standards and federal regulations ● Work for missing documentation and highlighting documentation opportunities. ● Work with billing department for coding related rejections and denials (Only for the Denial Management Skillset) ● Interact with the Coding department at the client's end for any Coding related feedback OR support through the system as assigned ● Responsible for mentoring new joinees on the floor during the OJT phase Qualifications: ● BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must ● AHIMA/AAPC certification is a must (For experience candidates only) ● MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage Functional Competencies & Role Prerequisites: ● A minimum of 3 years and above experience in the coding domain which includes the relevant speciality is a must. ● Knowledge of anatomy, physiology and medical terminologies is a must ● Good Comprehension Skills ● Detail Orientation ● Typing Skills - Minimum expectation of 50 words per minute. ● Knowledge of core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines) would be preferred. ● Knowledge of 2 coding specialties would be preferred Behavioural Competencies: ● Team Work ● Achievement Orientation ● Communication ● Analytical Skills

Responsibilities

The specialist interprets patient medical charts to assign appropriate diagnostic and procedural codes, ensuring compliance for insurance payments and working on missing documentation. This role also involves interacting with the client's coding department and mentoring new joiners during the On-the-Job Training phase.