Medical Coder
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Job Overview:
We are seeking a skilled and detail-oriented Medical Coding Analyst to join our team. The ideal candidate will have a minimum of 2 years of experience in medical coding with expertise in Anesthesia, ENM, Surgery, and Pain Management specialties. The candidate should possess strong knowledge of CPT, ICD-10, and HCPCS coding guidelines, be CPC certified, and have hands-on experience with ECW and CT. The role requires excellent analytical skills, quality-focused coding practices, and the ability to ensure accurate and compliant coding in accordance with industry standards and client requirements.
Key Responsibilities:
- Review and analyze medical records to assign accurate CPT, ICD-10-CM, and HCPCS codes.
- Perform coding for Anesthesia, ENM, Surgery, and Pain Management specialties while ensuring compliance with coding guidelines.
- Maintain coding accuracy and productivity targets as defined by the organization and clients.
- Identify documentation gaps and communicate with relevant stakeholders for clarification when required.
- Manage coding-related denials by identifying root causes, ensuring appropriate corrective actions, and supporting timely claim resolution to maximize reimbursement.
- Ensure adherence to payer-specific guidelines and regulatory requirements.
- Conduct coding quality checks and participate in internal audits as needed.
- Utilize ECW and CT platforms effectively for coding and documentation review.
- Stay updated on coding changes, industry regulations, and compliance requirements.
- Collaborate with quality, operations, and client teams to resolve coding-related queries.
- Maintain confidentiality and security of patient health information in accordance with HIPAA and organizational policies.
Experience:
- Minimum 2+ years of experience in Medical Coding.
- Experience in Anesthesia, ENM, Surgery, and Pain Management specialties is mandatory.
Knowledge:
- Strong understanding of Human Anatomy, Physiology, and Medical Terminology.
- Thorough knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
- Familiarity with payer guidelines and healthcare compliance standards.
- Working knowledge of ECW and CT platforms.
Skills:
- CPC Certification is mandatory.
- Excellent analytical and problem-solving abilities.
- Strong attention to detail and commitment to coding accuracy.
- Effective written and verbal communication skills.
- Ability to manage productivity and quality expectations in a fast-paced environment.
- Proficiency in Microsoft Office Suite and coding-related applications.
Preferred Criteria:
- Local candidates from Mohali or nearby locations preferred.
- Immediate joiners will be given preference.
Job Location: Mohali, Punjab
Working Days: 5 Days a Week
Share Applications: team-recruitment@nath-mds.com / +91 8699941562
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