Hiring For E/M + Surgery, IPDRG

Hiring for below roles Interested candidates can reach me out on below contact numbers

Sai Nikhil:-8297092989/sai.nikhil@ikshealth.com

Navya:-8688971193/ shankarashetti.navya@ikshealth.com

Role & responsibilities

1 JD EM (IP/OP+Surgery) :

1. Review the E&M (Outpatient/Inpatient), Surgery medical records, and assign accurate ICD-10-CM and CPT codes for diagnoses and procedures.

2. Assign and sequence codes accurately based on medical record documentation.

3. Follow all HIPAA (Health Insurance Portability and Accountability Act) rules and regulations.

4. Thorough understanding and application of medical necessity and denials for processing the charts.

5. Involves in ensuring data integrity including appropriate sequencing and dispositions, resolving all coding edits prior to finalizing the charts, compliant with United States Local and Federal Regulations.

6. Continuing education for ICD10 with Elsevier modules, staying current with coding clinics, and revised codes.

7. Keeps current with all coding updates/changes through Coding Clinics and literature.

8. Querying physicians regarding incomplete documentation.

2 JD: IP DRG

1 Reviews inpatient medical records and assigns accurate ICD-10-CM and PCS codes for diagnoses and procedures.

2 Assigns and sequence codes accurately based on medical record documentation.

3 Follow all HIPAA (Health Insurance Portability and Accountability Act) rules and regulations.

4 Assigns POA indicators correctly.

5 Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims.

6 Involves in ensuring data integrity including appropriate sequencing and dispositions, resolving all coding edits prior to finalizing the charts, compliant with United States Local and Federal Regulations.

7 Continuing education for ICD10 with Elsevier modules, staying current with coding clinics, and revised codes.

8 Keeps current with all coding updates/changes through Coding Clinics and literature.

9 Querying physicians regarding incomplete documentation and/or clarification regarding coding diagnoses or procedures etc., which impacts on DRG.

10 Attends weekly/monthly education meetings, which goes over common mistakes made, new Coding Clinic examples, practice coding problems, etc.

11 Perform coding across multiple facilities/patient types as per requirement.

12Maintains a professional appearance. Should understand, support, enforce and comply with company policies, procedures and Standards of Business Ethics and Conduct.

Knowledge / Skills 

1. Should be proficient with ICD-10-CM and PCS coding concepts and regulatory guidelines.
2. Should be proficient with the MS-DRG payment system.
3. Knowledge of 3M coding and abstracting software, Epic and Meditech Systems.
4. Must be certified by AAPC and/or AHIMA. (Preferable CCS, CIC)

Perks and benefits

* Incentives