E&M Coder

SIS Software; Dadri; On-site; INR 420,000 - 640,000; Full time

Job summary

SIS Software seeks a skilled Medical Coder to review health records and assign ICD-10-CM, CPT, and HCPCS codes in line with official guidelines. You will verify LCD/NCD information, utilize coding resources, and initiate physician queries when needed.

The role requires experience with outpatient coding, accuracy in data interpretation, and the ability to work independently in a fast-paced environment. AAPC/AHIMA certification is preferred, with strong knowledge of medical terminology and anatomy.

Qualifications

• Must hold coding certification (AAPC/AHIMA).
• Experience with CPT/HCPCS/ICD-10-CM coding in an outpatient setting.

Responsibilities

• Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes.
• Verify LCD/NCD information as appropriate.
• Utilize NCCI edits and coding references as needed.
• Initiate physician queries as needed.
• Escalate coding/documentation problems when appropriate.
• Participate in ongoing coding education.
• Analyze and resolve coding review questions, denials, and assist with appeals.

Skills

CPT coding

HCPCS coding

ICD-10-CM coding

Outpatient coding

NCCI edits

Physician queries

Denials & appeals

Medical terminology

Team communication

Education

AAPC or AHIMA certification

University certificate in healthcare

Tools

Microsoft Word

Excel

Adobe

Super coder

Job description

POSITION SUMMARY:

Understand clinical content of a health record and assign appropriate ICD-10, HCPCS, and CPT codes in accordance with official guidelines.

Responsibilities:

• Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes
• Verify LCD/NCD information as appropriate
• Utilize NCCI edits, AMA CPT Assistant, AHA Coding Clinic, and other resources as needed
• Initiate physician queries as needed
• Escalate coding/documentation problems when appropriate
• Participate in ongoing coding education
• Perform other related duties as required/assigned
• Other responsibilities as assigned
• Ability to analyze and interpret data with minimal supervision.
• Ability to work independently and prioritize workload with little or no supervision in a fast-paced environment.
• Ability to collaborate and interact with various departments.
• Ability to sit for prolonged periods of time to perform repetitious tasks.
• Coding certification through AAPC or AHIMA (CPC, COC, RHIT, CCS, etc., no apprentice designation accepted at this time)
• One year experience with outpatient coding.
• Minimum 2 years of experience as a E&M.
• Comprehensive knowledge of medical terminology, anatomy, and physiology, and diagnostic and procedural coding (CPT, ICD-10, and HCPCS).
• Computer experience utilizing various systems, applications, and websites, i.e. Microsoft Work, Excel, Adobe, super coder, etc.
• Ability to access and recognize appropriate electronic documents and medical record contents necessary for coding.
• Analyze and resolve coding review questions, denials, and assist with appeals process.
• Effectively communicate coding methodologies and documentations best practices with coworkers.
• Knowledge of Medicare, Medicaid, and State regulations.

Preferred Knowledge, Skills, Abilities & Education:

• University certificate in healthcare related field

Roles and Responsibilities

POSITION SUMMARY:

Understand clinical content of a health record and assign appropriate ICD-10, HCPCS, and CPT codes in accordance with official guidelines.

Responsibilities:

• Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes
• Verify LCD/NCD information as appropriate
• Utilize NCCI edits, AMA CPT Assistant, AHA Coding Clinic, and other resources as needed
• Initiate physician queries as needed
• Escalate coding/documentation problems when appropriate
• Participate in ongoing coding education
• Perform other related duties as required/assigned
• Other responsibilities as assigned
• Ability to analyze and interpret data with minimal supervision.
• Ability to work independently and prioritize workload with little or no supervision in a fast-paced environment.
• Ability to collaborate and interact with various departments.
• Ability to sit for prolonged periods of time to perform repetitious tasks.
• Coding certification through AAPC or AHIMA (CPC, COC, RHIT, CCS, etc., no apprentice designation accepted at this time)
• One year experience with outpatient coding.
• Minimum 2 years of experience as a E&M.
• Comprehensive knowledge of medical terminology, anatomy, and physiology, and diagnostic and procedural coding (CPT, ICD-10, and HCPCS).
• Computer experience utilizing various systems, applications, and websites, i.e. Microsoft Work, Excel, Adobe, super coder, etc.
• Ability to access and recognize appropriate electronic documents and medical record contents necessary for coding.
• Analyze and resolve coding review questions, denials, and assist with appeals process.
• Effectively communicate coding methodologies and documentations best practices with coworkers.
• Knowledge of Medicare, Medicaid, and State regulations.

Preferred Knowledge, Skills, Abilities & Education:

• University certificate in healthcare related field