Gratitude India

Quality Analyst - Medical Coder

3 - 5 year(s)

Philippines - Manila (Taguig)

60 - 65 Thousand p.m

Job Description

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Role: Clinical Coding Analyst

Timings: Flexible (Permanent)

Industry: BPO

Work Mode: Work from office

Functional Area: ITES / BPO / Customer Service

Process: Voice

Key Skills:

Outpatient coding

Education and Certification:
● Must be a graduate in any Life sciences- Physiotherapy, Pharmacy, Nursing, Biosciences with Anatomy/physiology as a subject..
● Certified Professional Coder (CPC) credentialed from the American Academy of Professional
● Coders (AAPC) obtained before hire or job transfer. All specialties accepted.
● Certified Coding Specialist (CCS) credentialed from the American Health Information
Management Association (AHIMA) obtained before hire or job transfer.
● Preferred RHIA/RHIT as additional certification.

Requirements:
● Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care
facilities using ICD, Modifiers, CPT, HCPCS codes.
● Must have a minimum of 3+ years of experience in E&M inpatient and/or outpatient medical
record review, coding and reimbursement. Coding audit experience preferred.
● Must have strong knowledge of ICD-10-CM/PCS and CPT coding and prospective payment
systems and proficiency with Microsoft Windows operating systems and Office applications,
such as Word, Excel, and PowerPoint
● Able to work well with minimal supervision.
● Able to communicate clearly both written and verbally.
● Able to generate reports for management review that clearly present audit results.
● Able to meet deadlines and respond well to frequent changes in regulation.
● Able to maintain positive and productive relationships with internal and external teams and
customers.
● Able to work independently and be a self-starter.
● Willing to work on-site in Taguig
● Must be amenable to attend for an onsite assessment

Responsibilities:
 Performs audits on the accuracy of ICD-10, CPT-4, HCPCS and Modifier assignments.
 Reviews claims denied/rejected for coding, documentation and clinical validation.
 Prepares reports for management review and identifies trends.
 Conducts focused retrospective audits and regular scheduled audits of individual coders.
 Manages all audits conducted by internal and external entities and responds to requests for code verification.
 In conjunction with the Coding Supervisors and Coding Manager, contributes to the
development of educational and training opportunities for staff.

Note: Gratitude doesn't charge any money from candidates. If you have been asked to pay money to get this job then report to us immediately at support@gratitudeindia.com.

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Yahaya Muktar

Recruiter - Gratitude India

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Manila ,

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