26 Oct
|
IKS Health
|
Hyderabad
26 Oct
IKS Health
Hyderabad
Job Location: Mumbai / Coimbatore/ Hyderabad/ Chennai Experience: 2+ Years Domain: Medical Coding – Multi-Specialty Certification: CCS / CPC / COC (Mandatory) Profile Description The role involves coding complex medical charts across multiple specialties and identifying opportunities for clinical documentation improvement. The candidate will also be responsible for mentoring recent joiners on the production floor during the On-the-Job Training (OJT) phase, ensuring coding accuracy, quality, and productivity standards.
Key Responsibilities - Code medical charts in accordance with CMS guidelines, including CPT, ICD, HCPCS, and modifiers, before submission to clients.
- Analyze and interpret patient medical records and demographic information to determine the appropriate billable services as per third-party payer requirements.
- Research and resolve coding-related queries from clients and internal stakeholders.
- Identify and highlight clinical documentation improvement opportunities.
- Collaborate with team leaders on continuous process improvement initiatives, including quality and productivity enhancement.
- Stay updated on the latest coding guidelines, regulatory changes, and industry best practices through conferences, workshops, and internal training sessions.
- Generate and monitor reports on pending coding queues.
- Support audit activities based on specific quality and compliance parameters.
- Analyze and review feedback reports and proactively implement corrective actions.
- Provide inputs to the training team to support the development and delivery of coder training programs.
- Actively participate in innovation and automation initiatives in collaboration with team managers.
- Mentor and support new joiners during the OJT phase to improve coding accuracy and overall performance.
Qualifications - BPT, B.Sc. Nursing, M.Sc. Nursing, B.Pharm, M.Pharm, BOT, or a degree in Life Sciences is preferred.
- CCS, CPC, or COC certification is mandatory.
Functional
Competencies & Role Prerequisites - Minimum 2 years of experience in medical coding, with multi-specialty coding experience being mandatory.
- Willingness to work in rotational shifts.
- Strong knowledge of core coding guidelines, NCCI edits, Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and CMS policies.
- Excellent comprehension and analytical skills.
- Strong attention to detail and accuracy.
- Behavioral Competencies - Teamwork and collaboration - Achievement orientation - Effective communication skills - Analytical and problem-solving abilities - Accountability and attention to quality Preferred Candidate Profile Candidates with strong multi-specialty coding experience, relevant coding certification, and the ability to handle complex charts, support audits, mentor junior coders, and contribute to process improvement initiatives are encouraged to apply. Interested candidates can apply with their updated resume.
📌 Senior Coding Specialist (Hyderabad)
🏢 IKS Health
📍 Hyderabad