Senior Coding Executive - Chennai
The medical records senior coder will be responsible for reviewing, interpreting and abstracting clinical information from medical records and translate into international code sets by applying coding guidelines for the purposes of reimbursement, research, and compliance utilizing established coding principles and protocols.
Roles and Responsibilities
Ensures appropriate selection of principal diagnosis, qualifying secondary diagnosis, Impacting procedures and other services that are relevant for submission and reimbursement.
Effective physician query process prior to code assignment to obtain the greatest possible diagnostic specificity and clinical documentation to accurately reflect the patient's condition.
Consistently maintain quality and productivity standards and achieve the productivity target and quality targets
Ensures to reduce rejections and get the claim paid at the initial submission of claims.
Education, Experience, and skills needed
Education: Degree in any related field with medical/life science background.
CPC (AAPC) certification is mandatory.
Minimum of two to three (2-3) years of coding experience in any setting.
Willingness to work in different shifts
Willingness to work from a different facility
Expertise in medical record review to abstract information required to support accurate coding
Excellent communication skills.
Expertise in assigning accurate ICD-10-CM, CPT, HCPCS and other service codes for diagnosis and procedures performed in the IP/OP/ER setting.
Applying advanced knowledge of medical terminology, anatomy, and physiology, treatment modalities, diagnostic test, medications.
Ensure a high level of patient data confidentiality.
Multispecialty coding experience in surgery, IVR, labs, radiology and HCPCS coding for supplies & consumables.
Aware of current trends related to medical necessity, and coding guidelines.
Identify documentation deficiencies and query physicians for clarification and additional documentation prior to code assignment.
Perform other related duties incidental to the work described herein.
Ensures that targets are met for department Turnaround time, Quality and Productivity
