AddressPosition: QA Specialist-Medical Coding
Location: Navi Mumbai
Required Skills:
Medical Coding experience minimum of 6 years is mandatory
Minimum of 3 years in HCC coding is mandatory
Worked at least 1 year as an SME/QA
AAPC/AHIMA Certification is mandatory
Roles & Responsibilities:
- Possess knowledge on risk adjustment models – Medicare, Commercial & Medicaid.
- Should be well-versed in coding standards and guidelines, including ICD-10-CM guidelines, AHA coding clinic updates, and client-specific guideline requirements.
- Should be able to perform QA audits for multiple projects.
- Derive effective QA sampling & audit methodology for the projects assigned.
- Possess analytical skills to monitor & measure the quality trend in the coding projects.
- Perform root cause analysis, identify knowledge gaps, and conduct training to project team.
- Review scope document & guidelines for new clients before the start of the project and own pilot project delivery to meet client SLA on quality.
- Review & customize standard coding guidelines as needed.
- Identify error trends on client feedback & improve client experience by continuous improvements.
- Conduct training sessions on audit protocols, the comment matrix, and best practices for prospective auditors. • Ability to respond to the internal coding queries with proper rationale.
Job Types: Full-time, Permanent
Salary: ₹800,000.00 - ₹950,000.00 per year
Benefits:
- Cell phone reimbursement
- Health insurance
- Provident Fund
Schedule:
- Day shift
Application Question(s):
- What is your total experience in HCC Coding?
Experience:
- total work: 7 years (Required)
- Medical Coding: 6 years (Required)
License/Certification:
- CPC, COC certification (Required)
Ability to Commute:
- Navi Mumbai, Maharashtra (Required)
Work Location: In person
Speak with the employer
+91 9363075718
