10 Aug
|
Infinx
|
Bengaluru
Job Title:
E/M Surgery Medical Coder (Orthopedic, Neurology, Cardiology , IVR)
Job Summary:
An E/M (Evaluation and Management) Surgery Medical Coder is responsible for reviewing physician documentation and assigning accurate CPT, ICD-10-CM, HCPCS, and modifier codes for surgical E/M services. The coder ensures compliance with AMA, CMS, and payer-specific guidelines while supporting accurate reimbursement and reducing claim denials.
Key Responsibilities
- Review and analyze surgical patient records, office visits, consultations, hospital visits, and follow-up encounters.
- Assign accurate E/M CPT codes based on Medical Decision Making (MDM) and time-based coding guidelines.
- Apply appropriate ICD-10-CM diagnosis codes, HCPCS codes, and modifiers.
- Code E/M services for surgical specialties such as:
- General Surgery
- Orthopedic Surgery
- Neurosurgery
- ENT Surgery
- Urology
- Cardiothoracic Surgery
- Plastic Surgery
- Ensure documentation supports the selected E/M level.
- Identify and report documentation deficiencies to providers when clarification is required.
- Follow current AMA CPT and CMS E/M coding guidelines.
- Ensure compliance with Medicare, Medicaid, HIPAA, and commercial payer requirements.
- Review denied claims and assist in coding corrections when necessary.
- Meet productivity and quality standards established by the organization.
- Stay updated on annual coding guideline changes.
Required Qualifications
- Bachelor's degree or equivalent in Life Sciences, Pharmacy, Nursing, or related healthcare field.
- Certification preferred
- CPC (Certified Professional Coder)
- CCS (Certified Coding Specialist)
- COC (Certified Outpatient Coder)
Required Skills
- Solid knowledge of E/M coding guidelines.
- Knowledge of CPT, ICD-10-CM, HCPCS, and modifiers.
- Understanding of surgical documentation and medical terminology.
- Excellent analytical and problem-solving skills.
- Attention to detail and coding accuracy.
- Familiarity with EMR/EHR systems.
Resume Job Responsibility Example
- Reviewed and coded Evaluation & Management (E/M) services for surgical specialties using CPT, ICD-10-CM, and HCPCS coding systems.
- Analyzed physician documentation to determine appropriate E/M levels based on Medical Decision Making and time guidelines.
- Ensured compliance with AMA, CMS, and payer-specific regulations while maintaining high coding accuracy and productivity.
- Identified documentation gaps, initiated provider queries, and supported denial resolution activities.
- Participated in coding quality reviews and maintained coding accuracy above organizational standards.
Contact - (phone hidden) whatsapp durga Bhavani hr -- contact only 11 am to 5pm
📌 Immediate openings For - E/M Surgery Medical Coder (Bengaluru)
🏢 Infinx
📍 Bengaluru