Ct Us HR LOKESHWARI hidden mobile This Role is Open to Fresh Graduates with Excellent English Communication Skills you should have At Least a Diploma degree in Any Field DESCRIPTION Medical Coding is the Fastestgrowing Profession in the Healthcare Industry Today It is a Niche Specialization and the Demand for Trained and Certified Medical Coders is Increasing Exponentially and Bound to Increase in Upcoming Years Especially in India you are Goaloriented and Thrive in Fastpaced Environments maintains a Working Knowledge of Cpt4 Icd10cm and Icd10pcs Coding Principles Governmental Regulations Uhdds uniform Hospital Discharge Data Set Guidelines Aha Coding Clinic Updates and Thirdparty Requirements Regarding Coding and Documentation Guidelines Methodology Identify cases eligible for medical reviews and assign these to appropriate reviewers Reach out to the client for any problems identified in the cases for review Adhere to Utilization Review Accreditation Commission URAC jurisdictional and or established MediCall best practice UM time frames as appropriate Adhere to federal state URAC client and established MediCall best practice WCUM time frames as appropriate Develop a complete understanding of the Medical management Procedures Perform medical review assessment MRA on utilization of health services eg healthcare plans workers compensation products etc in an accurate effective and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment casually related care response or lack of response to treatment etc Identify missing records and information that are necessary in the completion of the medical review assessment Adhere to Department of Labor state and company timeframe requirements Coordinates physician reviewer referral as needed and follows up timely to obtain and deliver those results Track status of all utilization management reviews in progress and follow up on all pending cases Work closely with management team in the ongoing development and implementation of utilization management programs Respond to inbound telephone calls pertaining to medical reviews in a timely manner following client a established protocols Process customer calls consistent with program specified strategies and customer satisfaction measurements to include but not limited to proper answering procedure eg opening and closing remarks Learn new methods and services as the job requires Required Skills Medical Coding Freshers Medical Coder Pharmacy Physiotherapy BPT MPT Staff Nurse Biotechnology Biomedical Engineer Biochemistry Microbiologist Biology HR LOKESHWARI hidden mobile

📌 Medical coding for Lifescience and Paramedical graduates (Chennai)
🏢 Achievers Spot
📍 Chennai