Medical Coder - Evaluation & Management (E&M)

Pacific An Accesshealthcare Company

1-4 years

Not Disclosed

Noida

10 Dec. 16, 2024

Job Description

Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Medical Coder - Evaluation & Management (E&M)
Category: Healthcare
Location: Noida, India
Experience: 1-4 years
Job Type: Full-time

Job Description:

Take the next step in your healthcare career by joining Pacific BPO, an Access Healthcare company, as a Medical Coder – Evaluation & Management (E&M). We are seeking dedicated and motivated individuals to join our team and deepen their knowledge of healthcare revenue cycle management. At Pacific BPO, we offer a vibrant work culture that values your contributions and supports your growth as a true partner to our clients.

As an E&M Medical Coder, your responsibilities will include validating medical records and charge information submitted by physicians, ensuring compliance with coding and billing regulations. You will be involved in coding medical records by assigning accurate diagnosis and CPT codes per ICD-10 and CPT-4 systems, while also collaborating with physicians to verify or correct any changes in documentation or charges.

Key Responsibilities:

Validate medical record documentation and charge information to ensure compliance with coding/billing regulations.
Notify and verify changes or charges with physicians and update them after acknowledgment.
Perform coding of medical records, ascribing accurate diagnosis and CPT codes according to ICD-10 and CPT-4.
Review coding databases annually and re-file insurance claims while verifying insurance coverage.
Analyze and resolve insurance denials, working with physicians to discuss coding challenges and reimbursements.
Submit claims with appropriate documentation such as OP notes and other required information.
Maintain professional and ethical standards while focusing on continuous improvement.
Stay updated on coding skills, knowledge, and accuracy through team meetings and educational conferences.

Job Requirements:

Graduates in life sciences with 1-4 years of experience in medical coding.
Prior experience in E&M coding, insurance, and posting is required.
Experience in medical billing processes.
Exposure to CPT-4, ICD-9, ICD-10, and HCPCS coding.
CCS/CPC/CPC-H/CIC/COC certification from AAPC/AHIMA would be a plus.
Knowledge of HIPAA standards.
Certified Professional Coder (CPC) certification is preferred.
Strong knowledge of medical coding and billing systems, medical terminology, regulatory requirements, and auditing principles.

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Medical Coder - Evaluation & Management (E&M)

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