We are seeking skilled and detail-oriented Medical Coders with E/M (Evaluation & Management) coding experience to join our growing Healthcare Revenue Cycle Management team. The ideal candidate will be responsible for accurately reviewing physician documentation, assigning appropriate ICD-10-CM, CPT, and HCPCS codes, and ensuring compliance with coding guidelines and payer requirements.
The role requires strong knowledge of E/M coding principles, medical terminology, anatomy, physiology, and healthcare compliance standards.
KEY RESPONSIBILITIES
Medical Coding
- Review and analyze physician documentation to assign accurate medical codes.
- Apply appropriate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
- Perform Evaluation & Management (E/M) coding for office visits, hospital visits, consultations, and other physician services.
- Ensure coding accuracy while maintaining productivity and quality standards.
- Adhere to coding compliance guidelines and payer-specific requirements.
- Identify documentation deficiencies and communicate clarification requirements when necessary.
Coding Quality & Compliance
- Ensure compliance with CMS, AMA, ICD-10, CPT, and payer-specific coding guidelines.
- Maintain high coding quality and accuracy levels.
- Participate in coding audits and quality review programs.
- Implement feedback received from quality and audit teams.
- Stay updated on coding guideline changes and regulatory updates.
Documentation Review
- Review medical records to ensure completeness and coding accuracy.
- Interpret clinical documentation and translate diagnoses and procedures into standardized codes.
- Validate medical necessity and documentation requirements.
- Support providers with coding-related queries and documentation improvement opportunities.
Productivity & Performance
- Meet daily productivity and quality targets.
- Ensure timely completion of coding assignments.
- Maintain turnaround times as per client requirements.
- Contribute to process improvement and quality enhancement initiatives.
EDUCATIONAL QUALIFICATIONS
- Graduate in any discipline
- Preferred:
- Life Sciences
- Pharmacy
- Nursing
- Biotechnology
- Allied Health Sciences
• CPC, CCS, COC, CIC, or equivalent coding certification preferred.
DESIRED CANDIDATE PROFILE
- 1–5 years of experience in Medical Coding.
- Hands-on experience in Evaluation & Management (E/M) Coding is mandatory.
- Strong knowledge of:
o ICD-10-CM o CPT Coding o HCPCS o E/M Coding Guidelines o Medical Terminology o Anatomy & Physiology o Physician Documentation Review o Healthcare Compliance Standards
- Experience in Physician Coding will be preferred.
- Valuable understanding of CMS and payer-specific coding guidelines.
- Strong analytical and attention-to-detail skills.
- Excellent communication and comprehension abilities.
- Ability to work efficiently in a quality-driven environment.
KEY COMPETENCIES
- E/M Coding
- ICD-10-CM Coding
- CPT & HCPCS Coding
- Medical Record Review
- Coding Compliance
- Documentation Analysis
- Medical Terminology
- Attention to Detail
- Quality Assurance
- Time Management
- Problem Solving
- Healthcare Revenue Cycle Knowledge
📌 Senior Process Associate (India)
🏢 Knack RCM
📍 India
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