AddressDepartment: Medical Coding
Designation: Medical Coder
Experience Required: 1 – 5 years
Job Location: Pune/Mumbai
Shifts: General/US Shifts
Job Role
- Performing medical coding and reviewing medical codes for adherence to Risk Adjustment models
- Maintain standard industry productivity rates for Risk Adjustment coding
- Demonstrated ability to maintain high quality standards of 95% or greater
- Adherence to ISO procedures and compliances
- Mandatory to have a Certified Risk Adjustment Coder (CRC) Certification
Job Requirements
- Bachelor’s Degree or equivalent required
- Minimum one (1) year experience with CMS HCC (Hierarchical Condition Category) Risk Adjustment coding preferred
- Successful completion of coding certification program (CCS, CPC, CRC, or RHIT through AHIMA/AAPC)
- Extensive knowledge of Medicare regulations and policies pertaining to documentation, coding, and billing.
- Excellent growth opportunities
- Thorough understanding of ICD-10-CM coding guidelines
- Excellent written and verbal communication skills to effectively communicate coding and documentation findings both internally and externally
- Experience with computer applications, including MS Office (Excel, Word, PowerPoint) required.
- Comfortable working in a department with set productivity and coding accuracy standards
- Experience with NCQA HEDIS programs and data collection preferred
- Ability to self-motivate and work independently with minimal supervision
