Medical Coding Jobs for Lifescience and Paramedical Students

Achievers Spot; Coimbatore District; On-site; INR 150,000 - 210,000; Full time

Job summary

Achievers Spot is seeking fresh graduates with excellent English communication for a Medical Coding role in India. The position requires at least a Diploma/degree in any field and emphasizes attention to detail and the ability to perform in a fast-paced environment.

The role involves identifying cases, coordinating reviews, adhering to URAC and regulatory time frames, and performing medical review assessments with accurate documentation and timely follow-up across health services and clinical

Qualifications

• At least a Diploma/degree in any field.
• Strong attention to detail and capable of delivering top-quality work.
• Goal-oriented and thrive in fast-paced environments.
• Maintains a working knowledge of coding principles, regulations, and third-party requirements.

Responsibilities

• Identify cases eligible for medical reviews and assign these to appropriate reviewers.
• Reach out to the client for any problems identified in the cases for review.
• Adhere to URAC, jurisdictional, and MediCall best practice UM time frames.
• Adhere to federal, state, URAC, client, and best practice WCUM time frames.
• Develop a complete understanding of the medical management procedures.
• Perform medical review assessment (MRA) on utilization of health services in an accurate, efficient and timely manner.
• Provide succinct negotiable points based on submitted medical records.
• Identify missing records and information necessary for completion of the medical review assessment.
• Coordinate physician reviewer referrals and follow up timely.
• Track status of all utilization management reviews and follow up on pending cases.
• Work with management on development and implementation of utilization management programs.
• Respond to inbound calls pertaining to medical reviews following client protocols.
• Process customer calls per program strategies and satisfaction measurements.
• Learn new methods and services as required by the job.

Skills

Medical Coding Freshers

Medical Coder

Pharmacy

Physiotherapy BPT/MPT

Staff Nurse

Biotechnology Biomedical

Microbiology Biology

Education

Diploma/degree in any field

Job description

Job Summary

This role is open to fresh graduates with excellent English communication skills.

Requirements

• At least a Diploma/degree in any field.
• Strong attention to detail and capable of delivering top-quality work.
• Goal-oriented and thrive in fast-paced environments.
• Maintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS guidelines, AHCA coding clinic updates, and third-party requirements regarding coding and documentation guidelines.

Description

Medical coding is the fastest-growing profession in the healthcare industry today. It is a niche specialization and the demand for trained and certified medical coders is increasing exponentially and bound to increase in upcoming years, especially in India.

Methodology / Responsibilities

• Identify cases eligible for medical reviews and assign these to appropriate reviewers.
• Reach out to the client for any problems identified in the cases for review.
• Adhere to Utilization Review Accreditation Commission (URAC), jurisdictional, and/or established MediCall best practice UM time frames, as appropriate.
• Adhere to federal, state, URAC, client, and established MediCall best practice WCUM time frames, as appropriate.
• Develop a complete understanding of the medical management procedures.
• Perform medical review assessment (MRA) on utilization of health services (e.g., health care plans, workers’ compensation products, etc.) in an accurate, efficient and timely manner while ensuring compliance with utilization management regulations and adherence to state and federal mandates.
• Provide succinct negotiable points based on the submitted medical records that identify necessary medical treatment, casually related care, response or lack of response to treatment, etc.
• Identify missing records and information that are necessary in the completion of the medical review assessment.
• Adhere to Department of Labor, state and company time‑frame requirements.
• Coordinate physician reviewer referral as needed and follow up timely to obtain and deliver those results.
• Track status of all utilization management reviews in progress and follow up on all pending cases.
• Work closely with management team in the ongoing development and implementation of utilization management programs.
• Respond to inbound telephone calls pertaining to medical reviews in a timely manner, following client-established protocols.
• Process customer calls consistent with program specified strategies and customer satisfaction measurements to include but not limited to proper answering procedure, e.g., opening and closing remarks.
• Learn new methods and services as required by the job.

Required Skills

• Medical Coding Freshers
• Medical Coder
• Pharmacy
• Physiotherapy, BPT, MPT
• Staff Nurse
• Biotechnology, Biomedical Engineer, Biochemistry
• Microbiologist, Biology