Job Title: Coder – ED Profee
Company: Med-Metrix
Location: Chennai, Tamil Nadu, India
Job Type: Full-Time
Experience Required: Minimum 2 Years
Job ID: 3697
About Med-Metrix
Med-Metrix is a leading healthcare solutions provider specializing in revenue cycle management, medical coding, and healthcare analytics. The organization supports healthcare providers with advanced coding, compliance, and billing solutions that improve financial performance while ensuring adherence to regulatory standards. With a strong focus on accuracy, compliance, and operational efficiency, Med-Metrix helps healthcare institutions optimize their revenue cycle processes and maintain high-quality clinical documentation standards.
Role Overview
Med-Metrix is seeking a qualified Coder – ED Profee to support emergency department professional fee coding operations. The selected candidate will be responsible for reviewing clinical documentation, assigning appropriate medical codes, conducting coding audits, and supporting billing teams to ensure accurate claim submissions and reimbursements. This role requires strong expertise in medical coding standards, regulatory compliance, and healthcare documentation review.
Key Responsibilities
Medical Coding and Documentation Review
Assign and sequence appropriate CPT and ICD-10 codes for services rendered in emergency department professional fee (ED Profee) cases.
Review clinical documentation to ensure coding accuracy and compliance with industry standards.
Conduct coding audits and reviews to validate documentation accuracy, including reviews involving co-source partners.
Billing and Revenue Cycle Support
Collaborate with billing teams to ensure accurate claim processing and reimbursement.
Work with system work queues (WQs) to resolve coding-related billing issues and ensure proper payment of claims.
Regulatory Compliance and Standards
Ensure compliance with Medicare policies, coding initiatives, and regulatory guidelines.
Follow industry standards related to medical coding, documentation accuracy, and reimbursement compliance.
Data Security and Confidentiality
Maintain strict confidentiality of patient data and protected health information (PHI).
Use, protect, and disclose patient information only in accordance with HIPAA regulations and organizational policies.
Limit access to PHI strictly to the information required to perform assigned duties.
Operational and Administrative Responsibilities
Work independently from assigned coding work queues while maintaining productivity and quality standards.
Maintain professional communication and collaboration with internal teams.
Support additional coding or operational tasks assigned by the management team.
Required Qualifications
Certified Professional Coder (CPC) certification from AAPC or Certified Coding Specialist (CCS) certification from AHIMA.
High school diploma or equivalent qualification.
Experience Requirements
Minimum 2 years of medical coding experience in relevant specialties such as IP DRG, outpatient coding, denials management, same-day surgery (SDS), or emergency department coding.
Experience in surgical coding is considered an advantage.
Required Skills and Competencies
Strong understanding of CPT and ICD-10 coding systems.
Familiarity with Medicare policies and medical coding guidelines.
Proficiency in Microsoft Office applications including Word, Outlook, and Excel.
Ability to use medical coding and healthcare documentation software.
Strong analytical thinking and problem-solving abilities.
Excellent written and verbal communication skills.
High attention to detail and strong organizational skills.
Ability to work independently while maintaining high coding accuracy.
Work Environment and Conditions
The role primarily involves working with computer systems and medical coding software in an office or remote environment.
Employees may perform routine office tasks such as sitting, using computers, and handling documentation.
The work environment typically has minimal noise levels and requires strong focus and attention to detail.
Equal Employment Opportunity
Med-Metrix is committed to providing equal employment opportunities and maintaining a diverse and inclusive workplace. Employment decisions are made without discrimination based on race, color, religion, gender, age, disability, national origin, veteran status, or any other legally protected characteristic.
Job Location
Chennai, Tamil Nadu, India.
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