Key Responsibilities
- Perform comprehensive audits of E&M; Outpatient coding to ensure accuracy, completeness, and compliance with CMS and ICD-10-CM guidelines.
- Review clinical documentation to validate the coding information as per CMS standards, provide in detailed feedback to customer/Coder.
- Should be flexible and quickly adaptable to working in mutiple projects
- Positive understanding on coding below concepts.
Incident to Billing/ Visit complexity Minor procedures and applicable modifiers
Good interpretation on assigning the E&M; levels
Assigning accurate medical necessity diagnosis
AWV and Preventive visits, WWE, Telehealth coding guidelines
Able to interpret the client SOP and apply general CMS guidelines.
Required Qualifications
- Minimum 3-5 years of experience in medical coding with strong experience in E&M; coding with minor procedures.
- For OBGYN - Knowledge of OBGYN office procedures, global billing rules, Well women exam, PAP smear
- Must be certified by AAPC/AHIMA and should hold active credentials
- Should have experience in auditing, if not a QA can be an acting or designated QA
Interested candidates kindly reach out:
- Devisri HR
- (phone hidden)
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[email protected]
📌 E&M Auditor (Hyderabad)
🏢 Data Marshall
📍 Hyderabad