Medical Coder

Job Title: Medical Coder

Report To: Team Leader

Experience: 1 - 5 Years

Qualification: Any Degree (Life Science Background)

Location: Bangalore / Coimbatore

Shift Time: 09:00 AM - 06:00 PM - Day Shift

Mode: Work from office

Terms-Fulltime/Part time/Contractual: Full-time

Job Summary

As a medical coder, You need to translate details from a patient's medical documents, such as physician's notes, lab reports,   procedures, and diagnoses, into universal medical codes to maintain accurate medical records. Healthcare providers and insurance companies use these standardized codes for billing and record-keeping.

Key Responsibilities

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as a resource and subject matter expert to other coding staff.
• Reviews and verifies documentation supporting diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information.
• Audits clinical documentation and coded data to validate documentation support services rendered for reimbursement and reporting purposes.
• Assign codes for reimbursements, research, and compliance with regulatory requirements utilizing guidelines.

Mandatory Skills

• Follows coding conventions. Serves as coding consultant to care providers.
• Identifies discrepancies, potential quality of care, and billing issues.
• Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors.
• Identifies reportable elements, complications, and other procedures.
• Serves as a resource and subject matter expert to other coding staff.
• Assists lead or supervisor in orienting, training, and mentoring staff.
• Provides ongoing training to staff as needed.
• Handles special projects as requested.

Desired Skills

• Should be a certified coder
• Experience in Orthopedics, Surgery, EnM, and ED specialties would be an  added advantage