Opening For Medical Coder - Multiple Specialties (Path, RAD, E&M, Sur)

Job Title: Medical Coder - Multiple Specialties (Denial, E&M, Radiology, Pathology, Surgery)

Location: [Noida / Chennai / Trivandrum / Coimbatore / Mumbai / Pune]

Department: US Healthcare Revenue Cycle Management (RCM)
Job Type: Full-Time

Job Summary:

The Medical Coder Multiple Specialties will be responsible for accurately coding medical records in various specialties, including Denial Management, Evaluation & Management (E&M), Radiology, Pathology, and Surgery. This role requires expertise in reviewing medical documentation and applying appropriate codes (CPT, ICD-10, HCPCS) based on payer requirements and current coding guidelines.

Key Responsibilities:

1. Denial Management and Review :: Number of positions - 35

• Denial Analysis: Review and analyze denied claims to identify the root cause of the denial, whether due to coding, documentation, or payer issues.
• Appeal Process: Collaborate with the billing and denial management teams to prepare and submit timely appeals for denied claims, providing necessary coding clarifications and supporting documentation.
• Process Improvement: Track denial trends and collaborate with internal teams to develop solutions for minimizing future denials.

2. Evaluation & Management (E&M) Coding :: Number of positions - 10

• E&M Code Assignment: Accurately assign E&M codes based on the documentation provided, ensuring compliance with current CPT guidelines and payer-specific requirements.
• Chart Review: Review patient charts to ensure proper documentation, including history, exam, and medical decision-making, to support accurate E&M coding.
• Compliance and Documentation: Work with providers and clinical staff to ensure proper documentation of E&M services, supporting accurate code selection and minimizing audits.

3. Radiology Coding :: Number of positions - 20

• Radiology Services Coding: Assign appropriate CPT, ICD-10, and HCPCS codes for various radiology procedures, such as X-rays, MRIs, CT scans, ultrasounds, and nuclear medicine.
• Documentation Review: Ensure radiology reports are complete and accurate, aligning with current coding guidelines and payer policies.
• Coding Updates: Stay informed on the latest coding and regulatory changes in radiology to ensure proper reimbursement.

4. Pathology Coding :: Number of positions - 08

• Pathology Services Coding: Code pathology services including laboratory tests, specimen collection, and diagnostic pathology procedures, applying appropriate CPT, ICD-10, and HCPCS codes.
• Review of Pathology Reports: Analyze pathology reports and lab results to ensure accurate and comprehensive coding.
• Regulatory Compliance: Ensure compliance with all coding guidelines specific to pathology and laboratory services.

5. Surgical Coding :: Number of positions - 10

• Surgical Code Assignment: Code surgical procedures by reviewing the documentation for various specialties, including inpatient, outpatient, and ambulatory surgeries, using accurate CPT, ICD-10, and HCPCS codes.
• Chart and Operative Report Review: Thoroughly review operative reports and other documentation to assign accurate procedure and diagnosis codes.
• Documentation and Compliance: Work with surgical teams to ensure all necessary documentation is in place for proper coding and reimbursement.

Qualifications:

• Education: Associates degree in Health Information Management, Medical Coding, or related field preferred.

• Experience:

• Minimum of 3 years of experience in medical coding, with experience across multiple specialties, including Denial Management, E&M, Radiology, Pathology, and Surgery.
• Extensive knowledge of ICD-10, CPT, and HCPCS coding systems, and payer-specific guidelines.
• Experience with coding audits, claim denials, and working with healthcare management systems.

Knowledge & Skills:

• Strong knowledge of medical terminology, anatomy, and coding conventions.
• Expertise in evaluating and assigning E&M codes, radiology codes, pathology codes, and surgical codes.
• In-depth understanding of healthcare reimbursement, insurance policies, and denial management processes.
• Proficient with medical coding software, Electronic Health Records (EHR), and practice management systems.
• Excellent analytical skills, with the ability to identify coding errors and trends.
• Ability to work effectively under deadlines and handle multiple tasks simultaneously.
• Strong communication skills, both written and verbal, with the ability to collaborate across departments.

For more clarification, pls share your CV at Piyush.tyagi@pacificbpo.com

or reach out to us at - 7303593400 / 9650153673 / 9311605727 / 9311607093