Experi ence: Mi nimum 3 Years in Outpatient Coding
Location: Hyderabad
Employment Type: Full-time
Work mode: Office
Shift timing: 11 AM to 8 PM
Roles & Responsibilities:
- Review outpatient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.
- Ensure coding is compliant with CMS, AMA, NCCI edits, and payer-specific guidelines.
- Code charts for outpatient services such as OPD visits, diagnostic services, minor procedures, therapy, labs, and radiology.
- Validate medical necessity and ensure alignment between documentation and assigned codes.
- Collaborate with providers to clarify documentation and improve accuracy.
- Work with billing and AR teams to resolve coding-related denials and support appeals.
- Conduct periodic self-audits to maintain high accuracy levels.
- Stay updated with coding rules, annual guideline updates, and regulatory changes .
Skills Required:
- Solid knowledge of outpatient coding rules and guidelines.
- Expertise in ICD-10-CM, CPT, HCPCS Level II, and E/M outpatient guidelines.
- Hands-on experience with EHR/EMR systems and coding platforms.
- Ability to read and interpret provider documentation accurately.
- Good understanding of outpatient billing workflow and payer policies.
- Strong analytical and problem-solving skills.
- Excellent communication and attention to detail.