12 Nov
|
BIG Language Solutions
|
Hyderabad
12 Nov
BIG Language Solutions
Hyderabad
Job Role: Senior Profee Coder
Location: Noida/Hyderabad/Vizag
Working Days: 5 days
Shifts: 9AM-6PM
About the Role
We are looking for an experienced and certified Senior Profee Medical Coder with strong expertise in skilled fee (Profee) coding. The ideal candidate should have excellent knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifiers, along with strong communication and analytical skills.
Responsibilities
- Accurately assign ICD-10-CM, CPT, HCPCS Level II codes, and modifiers.
- Review clinical documentation and identify missing or unclear information.
- Follow up with providers/physicians for documentation clarification.
- Communicate with clinical teams regarding coding-related queries.
- Research and interpret coding guidelines for complex or unusual cases.
- Ensure coding accuracy, completeness, and compliance with applicable payer guidelines.
- Support the team as a subject matter expert on Profee coding-related matters.
Qualifications
- Science graduate/postgraduate preferred.
- Current AHIMA and/or AAPC certification is mandatory.
Required Skills
- 7–10 years of overall medical coding experience.
- 5–10 years of Profee coding experience across multiple specialties.
- Strong knowledge of Medicare and non-Medicare state payer policies.
- Strong understanding of ICD-10-CM, CPT, HCPCS Level II, and modifiers.
- Excellent verbal and written English communication skills.
- Strong attention to detail and ability to handle complex coding cases.
- Preferred Specialty Experience Cardiovascular, OB-GYN, Pediatrics, Gastroenterology, Orthopedics, Family Medicine, Dermatology, Psychiatry, Allergy & Immunology, and Endocrinology.
📌 Senior Medical Coder (Hyderabad)
🏢 BIG Language Solutions
📍 Hyderabad