Medical Coder and Biller - Authorization & Verification Specialist
Key Responsibilities: Code Assigning and Documentation: Assign accurate medical codes (ICD-10, CPT, some of HCPCS) for procedures, diagnoses, and treatments based on patient medical records. Ensure the proper coding of both routine and specialized procedures. Verify that all coding aligns with the medical documentation, ensuring that it reflects the correct diagnosis, procedures, and any other relevant information. Medical Record Review: Review patient charts and medical records to extract relevant information for accurate coding. Ensure all necessary information is included, such as patient history, exam findings, diagnosis, and treatment plan. Insurance and Billing Compliance: Audit and Quality Control: Conduct regular audits of coded documents to ensure accuracy and adherence to industry standards and guidelines. Identify and correct any discrepancies in coding, improving the overall accuracy of documentation. Stay updated on coding changes, updates to ophthalmology procedures, and compliance regulations.Required Skills & Qualifications: Educational Requirements: High school diploma or equivalent (required). Post-secondary education or certification in medical coding, health information management, or a related field (preferred). Knowledge & Expertise: Strong knowledge of coding systems: ICD-10, CPT, and some of HCPCS, and understanding of modifiers. Specific knowledge in ophthalmology procedures, treatments, and terminology. Familiarity with medical billing software and electronic health record (EHR) systems. In-depth understanding of medical documentation and compliance standards. Experience: 1-3 years of experience as a medical coder, ideally in medical facility. Experience with medical billing and working directly with insurance providers. Soft Skills: Attention to detail and a high level of accuracy in coding. Ability to work independently and as part of a team. Strong organizational skills and time management. Excellent written and verbal communication skills. Ability to handle confidential patient information responsibly.Work timings - US shift hoursJob Type: Full-timeSchedule: Monday to Friday Night shiftWork Location: Remote,
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Medical Coding Associate
NTT DATA INFORMATION PROCESSING SERVICES PRIVATE LIMITED