Job Description

The Medical Coder is responsible for translating healthcare services, diagnoses, procedures, and treatments into universally recognized codes used for billing and insurance reimbursement purposes. The role involves reviewing patient records, ensuring that the correct coding system (ICD-10, CPT, HCPCS, etc.) is applied, and ensuring compliance with health regulations and coding standards.

Key Responsibilities:

• Code Medical Procedures and Diagnoses : Accurately assign codes to diagnoses, treatments, and procedures using ICD-10 (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) coding systems.
• Review Medical Records : Analyze patient charts, medical documentation, and physician notes to ensure that all services rendered are documented and coded correctly.
• Verify Code Accuracy : Ensure the accuracy and completeness of coding to avoid claim rejections or delays. Correctly apply modifiers and other coding nuances where necessary.
• Compliance and Documentation : Follow established coding guidelines, regulatory standards, and payer-specific requirements. Maintain knowledge of up-to-date coding policies and healthcare legislation (HIPAA, Medicare, etc.).
• Collaboration with Healthcare Providers : Communicate with physicians, medical staff, and other healthcare professionals to clarify diagnoses, treatments, or documentation when necessary.
• Medical Billing Support : Assist in the preparation of medical claims for insurance reimbursement. Ensure that coded data is submitted accurately to payers in a timely manner.
• Quality Assurance : Review and validate coding accuracy for internal audits, external audits, or reviews as needed. Ensure compliance with payer policies, government regulations, and insurance guidelines.
• Data Entry and Maintenance : Input coded information into electronic health record (EHR) or practice management systems (PMS) and maintain patient records.
• Training and Education : Stay current with changes in coding procedures, medical terminology, and coding guidelines. May assist in training new coders or other healthcare staff on coding practices.

Qualifications:

• Education :
• A degree in Health Information Management, Medical Coding, or a related field is preferred.
• Certifications :
• Certification from a recognized professional coding body (e.g., Certified Professional Coder (CPC) from AAPC, Certified Coding Specialist (CCS) from AHIMA, or similar certification) is highly preferred or required.
• Knowledge of coding for a variety of medical specialties (e.g., cardiology, orthopedics, radiology) is a plus.
• Skills :
• Strong knowledge of medical terminology, anatomy, and physiology.
• Proficiency in coding software, Electronic Health Records (EHR) systems, and practice management systems (PMS).
• Attention to detail and ability to spot errors in medical records and coding.
• Excellent communication skills to interact with healthcare providers and team members.
• Ability to work independently, manage time effectively, and meet deadlines.

Job Types: Full-time, Fresher

Pay: ?9,500.00 per month

Benefits:

• Health insurance

Schedule:

• Day shift
• Morning shift

Work Location: In person