Immediate Opening For Medical coding - SME

Digiclarity Global Solutions Pvt. Ltd.; Chennai District; On-site; INR 614,000 - 725,000; Full time

Job summary

Digiclarity Global Solutions Pvt. Ltd. invites an experienced Subject Matter Expert / Lead Coding to manage coding activities in US healthcare with leadership of a small team. The role focuses on accuracy, client audits, and ongoing process improvements.

The ideal candidate holds 5+ years in code coding for US healthcare, strong communication, and familiarity with CMS/AAPC/AMA portals. Will coordinate with internal and client teams to resolve issues and drive quality.

Qualifications

• Minimum 5+ years Coding experience in US healthcare is mandatory.
• Minimum 2+ years experience in handling Team.
• Familiar with CMS, AAPC, AMA, Derm coder, Encoder portals to research industry updates.

Responsibilities

• Handle coding enquiries from internal coding team, billing team, clients, client relation managers.
• Participate in coding for new clients, audits for quality assurance, and training of freshers/new hires.
• Report and meet daily/weekly/monthly team KRA, client SLA and monitoring.
• Ensure HIPAA compliance, ISMS policies and SOP preparation.

Skills

US Healthcare Coding

Team Leadership

Communication

Dermatology Coding

HIPAA Compliance

Anatomy & Physiology

Education

Life science degree

Paramedic graduation

Tools

CMS

AAPC

AMA

Derm coder portals

Encoder portals

Job description

Experience Range : 5 - 8 Years

Designation : Subject Matter Expert / Lead Coding

Salary Range : 55K/- to 65K/- CTC

Qualification : Any Life science/Paramedic graduation.

Job Description:

• Should have good written and verbal communication skills
• Minimum of 5+ years Coding experience in US healthcare is mandatory
• Minimum of 2+ years experience in handling Team
• Handling coding enquiries from internal coding team, billing team, clients, client relation managers.
• Familiar in Using CMS, AAPC, AMA, Derm coder, Encoder portals to research the industry updates.
• I need to be a team player and flexible to work with other departments for issue resolution.
• Strong knowledge of coding domains - E/M, Dermatology Surgery, Pathology, radiation oncology & Denial Management.
• Participate in coding the new clients, super audit, client audits for quality assurance.
• Participate in training / developmental programs for fresher/new hires.
• Reporting & meeting the Daily /Weekly/Monthly team KRA, client SLA and monitoring.
• Exposure/Strong knowledge in HIPAA compliance, ISO audit, ISMS policies and procedures.
• Experience in SOP preparation, provider education, clinical documentation, excels, PPT preparation/presentation.
• Participate in clients & onsite team conference calls.

Skill Sets:

• CPC, CPCD, CCS and any one certification mandatory. Candidates with good knowledge in Anatomy/physiology.
• Good organizational skills to implement timely follow-up
• Good verbal and written communication skills

Contact: 8072388578