Medical Coder - Evaluation & Management (e&m) Job in Access Healthcare Services Pvt Ltd.

Validate all medical record documentation and charge information submitted by the physician to ensure compliance with coding/ billing regulations

Notify or verify with physicians on all the changes and charges made

Update changes after physicians acknowledgment

Perform a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding

Review coding database annually to re-file insurance claims, verify insurance coverage, and secure other information as required

Review insurance denials to analyze the causes and identify suitable solutions

Discuss coding challenges, changes, or reimbursements with a physician

Submit claims with appropriate documentation with OP notes and other information

Update claims appropriately when patient information has been changed or corrected after the charge has been posted

Maintains a high degree of professional and ethical standards

Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while being in compliance with the standards

Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences

Graduates in life sciences with 1 - 4 years experience in Medical Coding

Prior experience in E&M coding, insurance, and posting required

Experience in medical billing processes

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

Knowledge of HIPAA standards

Prefer Certified Professional Coding certificate

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