Key Responsibilities:
● Interpreting a patient's medical charts and determining the appropriate diagnostic and procedural codes.
● Ensure assigned codes meet all the compliance requirements so service payments are obtained by the insurance companies.
● Remaining up-to-date with the latest revisions to coding standards and federal regulations
● Work for missing documentation and highlighting documentation opportunities.
● Work with billing department for coding related rejections and denials (Only for the Denial Management Skillset)
● Interact with the Coding department at the client's end for any Coding related feedback OR support through the system as assigned
● Responsible for mentoring new joinees on the floor during the OJT phase
Qualifications:
● BPT, MPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, Life Science is a must
● AHIMA/AAPC certification is a must (For experience candidates only)
● MBBS, BDS, BAMS, BHMS, BUMS etc would be an added advantage
Functional Competencies & Role Prerequisites:
● A minimum of 3 years and above experience in the coding domain which includes the relevant speciality is a must.
● Knowledge of anatomy, physiology and medical terminologies is a must
● Good Comprehension Skills
● Detail Orientation
● Typing Skills - Minimum expectation of 50 words per minute.
● Knowledge of core coding guidelines and best practices with strong knowledge of NCCI edits, local and national policies (CMS guidelines) would be preferred.
● Knowledge of 2 coding specialties would be preferred
Behavioural Competencies:
● Team Work
● Achievement Orientation
● Communication
● Analytical Skills
Skills Required
- BPT, MPT, BSc Nursing, MSc Nursing, B Pharm, M Pharm, BOT, or Life Science degree
- AHIMA or AAPC certification (for experienced candidates)
- Minimum 3 years experience in medical coding including relevant specialty
- Knowledge of anatomy, physiology, and medical terminology
- Typing speed of at least 50 words per minute
- Good comprehension skills
- Detail orientation
- MBBS, BDS, BAMS, BHMS, BUMS (advantage)
- Knowledge of core coding guidelines, NCCI edits, and CMS policies
- Knowledge of two coding specialties
- Experience with denial management and working billing rejections/denials
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.
