Client Partner - Medical Coding, Cpc Certified Job in Access Healthcare Services Pvt Ltd.

In coding currently working on Medicus Outpatient coding & PAF gaps and Medicus ICD-10 code edits, UHC gap audits.

E&M coding (outpatient) Now working on Medicus Coding Outpatient and coded charts with CPT, ICD & HCPC codes. Earlier Did Q.C of the coded charts; coding documentation adherence, CPT, ICD & HCPC codes & based on all these checking the E&M level

HCC coding - Checking if documentation meets for given HCC codes or not checking them with HCC coding list. If more than 12 diagnosis, then creating sibling claims & then dropping them for further clearance.

UHC gap audits Checking RAF gaps on HBI portals to ensure the diagnosis are uploaded or not

Telemedicine Worked on Telemedicine as per guidelines provided by the client for checking the E&M level, Modifier & ICD & if anything lacks adding the same to the claim & dropping them for further clearance reporting all these to the client on weekly basis.

RAF gaps - Adding HCC related potential diagnosis in claim to calculate the risk analysis & reporting the same to the client.

Also, sometimes helping the account team in resolving coding related denials or coding issues to get the claim paid or get it processed to next level.

Graduates in life sciences with 5 years experience in Medical Coding

Experience in specialties such as Cardiology, Radiology, Pathology, Anesthesia, Emergency Room, Surgery, Neurology and others

Experience in HCC coding preferred

Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding

CCS/CPC/CPC-H/CIC/COC certification from AAPC /AHIMA would be a plus

Freshers with good knowledge in medical terminology, Human Anatomy and Physiology can apply

Current Coding certification with valid proof of certifications

Good knowledge of medical coding and billing systems, regulatory requirements, auditing concepts, and principles