Coding Specialist

• Interpreting a patients 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 clients 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