Key Responsibilities:
▪ Responsible for coding charts per CMS guidelines to include CPT, ICD, HCPCS, Modifiers before
submitting to clients.
▪ Analyse and interpret patient medical record and demographic information to identify and
determine the amount and nature of billable services as per third party payer requirements.
▪ Research and resolve enquiries from clients and stakeholders about the right codes.
▪ Partner and support leaders on continuous process improvement opportunities to include quality
improvement and productivity improvement initiatives.
▪ Keep oneself abreast with the latest updates and changes and/or new regulations in the coding
domain through conferences, workshops, and in-house sessions.
▪ Generate reports on pending queues.
▪ Support team on an as required basis in audits on specific parameters.
▪ Provide proactive support to analyse/review feedback reports.
▪ Provide insights to the training team in planning training for the coders.
▪ Should take active participation in Innovation and Automation initiatives with Team managers.
Qualifications:
● BPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a preferred.
● CCS/CPC/COC certification is a must
Functional Competencies & Role Prerequisites:
● A minimum of 3 years and above experience in the coding domain which includes Multi speciality is a must.
● Should open to work in rotational shifts.
● Should be conversant with core coding guidelines and best practices with strong knowledge of NCCI edits,
local and national policies (CMS guidelines).
● Good Comprehension Skills
● Detail Orientation, Coaching and Feedback Skills
● Typing Skills - Minimum expectation of 35 - 45 words per minute.
Behavioral Competencies:
● Team Work
● Achievement Orientation
● Communication
● Analytical Skills.
Skills Required
- CCS/CPC/COC certification
- Minimum of 3 years experience in medical coding including multispeciality
- Knowledge of core coding guidelines, NCCI edits, local and national (CMS) policies
- Typing speed 35-45 words per minute
- Willingness to work rotational shifts
- BPT, BSc Nursing, MSc Nursing, BPharm, MPharm, BOT, Life Science (preferred)
- Good comprehension, attention to detail, coaching and feedback skills
- Ability to analyze medical records and generate reports; support audits and automation/innovation initiatives
What We Do
Our mission is to enable efficient and sustainable delivery of excellent care. The IKS Care Enablement Platform enables us to deliver the chores of healthcare, across administrative, clinical, and operational burdens, enabling clinicians and staff to focus on their core purpose of delivering great care to their patients. IKS Health creates transformative value in healthcare through a unique combination of cutting edge technology and dedicated experts that empowers clinicians to build healthier communities, and enables stronger, financially sustainable enterprises. Our global team of 14,000, including 600+ technologists and 2,600+ clinical staff, enables 150,000 clinicians to rediscover the joy of medicine. IKS Health is the trusted partner for 900+ clients including the largest hospitals, health systems, and specialty groups across the United States.
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