Client Partner - Medical Coding, CPC Certified

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Start your career as a Client Partner for medical coding services.  We are always interested in talking to inspired, talented, and motivated people. Many opportunities are available to join our vibrant culture. Review and apply online below.

Job Location: MUMBAI, India

Job Description

  • 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.

Job REQUIREMENTs

To be considered for this position, applicants need to meet the following qualification criteria:

  • Graduates in life sciences with 5  year’s 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


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