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Medical Coder - Evaluation & Management (E&M)

1-4 years
Not Disclosed
10 Dec. 20, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Medical Coder - Evaluation & Management (E&M)
Location: Noida, India

About the Role:
Enhance your healthcare career and deepen your knowledge of healthcare revenue cycle management by joining Pacific BPO, an Access Healthcare company, as a Medical Coder - Evaluation & Management (E&M). This role allows you to work directly on KPIs that matter to clients and grow within a dynamic and vibrant culture.

Job Responsibilities:

  • Validate medical record documentation and charge information submitted by physicians to ensure compliance with coding and billing regulations.
  • Notify and verify with physicians regarding any changes or charges made, updating after acknowledgment.
  • Perform accurate coding of medical records, ascribing diagnosis and CPT codes per ICD-10 and CPT-4 systems.
  • Review coding databases annually, re-file insurance claims, verify coverage, and secure other necessary information.
  • Analyze insurance denials, identify causes, and determine suitable solutions.
  • Discuss coding challenges, changes, or reimbursements with physicians.
  • Submit claims with accurate documentation such as OP notes.
  • Update claims when patient information changes after charge posting.
  • Maintain a high level of professional and ethical standards.
  • Focus on continuous improvement to help reduce revenue leakage while staying compliant with standards.
  • Participate in coding team meetings and educational conferences to improve coding skills and knowledge.

Job Requirements:

  • Graduate in life sciences with 1-4 years of experience in medical coding.
  • Prior experience in E&M coding, insurance, and posting required.
  • Familiarity with medical billing processes and coding systems (CPT-4, ICD-9, ICD-10, and HCPCS).
  • CCS, CPC, CPC-H, CIC, COC certification from AAPC/AHIMA is a plus.
  • Knowledge of HIPAA standards and regulatory requirements.
  • Certified Professional Coder certificate preferred.
  • Strong understanding of medical coding systems, medical terminologies, and auditing concepts.

How to Apply:
Interested candidates can apply online.

Contact Information:
Email: careers@pacificbpo.com