Medical Coding - OP

r1rcm; Hyderabad; Hybrid; INR 400,000 - 600,000; Full time

Job summary

R1 India is seeking an experienced Medical Coder to join our growing revenue cycle team in Hyderabad. The role focuses on accurate ICD-10 and CPT coding with CPT and ICD expertise, and certification requirements as AHIMA or AAPC.

The coder will review records, validate codes, and ensure compliance with government and insurer regulations while supporting hybrid work from office and home as needed.

Qualifications

• Education – Any Graduate.
• 1 to 7 Years’ experience in Medical Coding.
• Successful completion of a certification program from AHIMA or AAPC.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Skilled in assigning ICD-10 & CPT codes.
• Solid oral and written communication skills.
• Able to work independently.
• Flexible to work from office and home as required by the business.

Responsibilities

• Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Communicate with other clinical staff regarding documentation.
• Search for information in cases where the coding is complex or unusual.
• Receive and review patient charts and documents for accuracy.
• Review the previous day's batch of patient notes for evaluation and coding.
• Ensure that all codes are current and active.

Skills

Medical coding experience

ICD-10 & CPT coding

Anatomy & physiology

Medical terminology

Communication skills

Independence

Education

Any Graduate

Job description

About US:

R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better.

R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, recognized as one of India’s Top 50 Best Workplaces™ for Women 2024, amongst India’s Top 25 Best Workplaces™ in Diversity, Equity, Inclusion & Belonging 2024, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 17,000+ strong in India with presence in Delhi NCR, Hyderabad, Bengaluru, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations.

Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests.

Giving priority always to what is best for our clients, patients, and each other. With our proven and scalable operating model, complementing a healthcare organization’s infrastructure to quickly drive sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

Responsibilities:

• Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
• Follow up with the provider on any documentation that is insufficient or unclear.
• Communicate with other clinical staff regarding documentation.
• Search for information in cases where the coding is complex or unusual.
• Receive and review patient charts and documents for accuracy.
• Review the previous day's batch of patient notes for evaluation and coding.
• Ensure that all codes are current and active.

Requirements:

• Education – Any Graduate.
• 1 to 7 Years’ experience in Medical Coding.
• Successful completion of a certification program from AHIMA or AAPC.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Skilled in assigning ICD-10 & CPT codes.
• Solid oral and written communication skills.
• Able to work independently.
• Flexible to work from office and home as required by the business.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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