Senior Coding Specialist

IKS Health Limited.; Hyderabad; Vor Ort; INR 350.000 - 550.000; Vollzeit

Zusammenfassung

IKS Health Limited. is seeking a Medical Coding professional with 2+ years of multi-specialty coding experience. The role involves coding complex medical charts, mentoring new joiners during OJT, and driving quality and productivity improvements across the team.

The candidate should hold CCS/CPC/COC certifications and be willing to work in rotational shifts, with responsibility to stay updated on CMS guidelines and industry best practices.

Qualifikationen

• 2+ years of medical coding experience, multi-specialty preferred.
• Mandatory CCS/CPC/COC certification.
• Willingness to work in rotational shifts.

Aufgaben

• Code medical charts per CMS guidelines (CPT, ICD, HCPCS, modifiers).
• Analyze records to determine billable services per payer requirements.
• Research and resolve client and internal coding queries.
• Identify clinical documentation improvement opportunities.
• Support audits and provide input to training teams.

Kenntnisse

Medical coding

Multi-specialty coding

Query resolution

Mentoring/training

Process improvement

Auditing

Ausbildung

BPT

B.Sc. Nursing

MSc Nursing

B.Pharm

M.Pharm

BOT

Life Sciences degree

Jobbeschreibung

Job Location: Mumbai / Coimbatore/ Hyderabad/ Chennai

Experience: 2+ Years

Domain: Medical Coding – Multi-Specialty

Certification: CCS / CPC / COC (Mandatory)

Profile Description

The role involves coding complex medical charts across multiple specialties and identifying opportunities for clinical documentation improvement. The candidate will also be responsible for mentoring new joiners on the production floor during the On-the-Job Training (OJT) phase, ensuring coding accuracy, quality, and productivity standards.

Key Responsibilities

• Code medical charts in accordance with CMS guidelines, including CPT, ICD, HCPCS, and modifiers, before submission to clients.
• Analyze and interpret patient medical records and demographic information to determine the appropriate billable services as per third-party payer requirements.
• Research and resolve coding-related queries from clients and internal stakeholders.
• Identify and highlight clinical documentation improvement opportunities.
• Collaborate with team leaders on continuous process improvement initiatives, including quality and productivity enhancement.
• Stay updated on the latest coding guidelines, regulatory changes, and industry best practices through conferences, workshops, and internal training sessions.
• Generate and monitor reports on pending coding queues.
• Support audit activities based on specific quality and compliance parameters.
• Analyze and review feedback reports and proactively implement corrective actions.
• Provide inputs to the training team to support the development and delivery of coder training programs.
• Actively participate in innovation and automation initiatives in collaboration with team managers.
• Mentor and support new joiners during the OJT phase to improve coding accuracy and overall performance.

Qualifications

• BPT, B.Sc. Nursing, M.Sc. Nursing, B.Pharm, M.Pharm, BOT, or a degree in Life Sciences is preferred.
• CCS, CPC, or COC certification is mandatory.

Functional Competencies & Role Prerequisites

• Minimum 2 years of experience in medical coding, with multi-specialty coding experience being mandatory.
• Willingness to work in rotational shifts.
• Strong knowledge of core coding guidelines, NCCI edits, Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and CMS policies.
• Excellent comprehension and analytical skills.
• Strong attention to detail and accuracy.

Behavioral Competencies

• Teamwork and collaboration
• Achievement orientation
• Effective communication skills
• Analytical and problem-solving abilities
• Accountability and attention to quality

Preferred Candidate Profile

Candidates with strong multi-specialty coding experience, relevant coding certification, and the ability to handle complex charts, support audits, mentor junior coders, and contribute to process improvement initiatives are encouraged to apply.