Medical Coding Associate- ED Pro /Facility
- Optum
- 1 - 5 years
- Hyderabad
- 3 months ago
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Job Description
Greeting from Optum!!
We are hiring ED pro & Facility Experience Candidates for HYD location,
Location: Hyderabad
Work Mode: Work from office only
Interview Mode: In-Person/Face to Face only
JOB DESCRIPTION: Under direct supervision, the ED Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analysing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines.
ROLES AND RESPONSIBILITIES:
- Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Urgent Care Centres and ED Setting.
- Ability to code 12 charts per hour and meeting the standards for quality criteria.
- Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines.
- Expertise in determining the EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines.
- Ability to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation.
- Ability to extract and code various screening CPT codes and PQRS codes from the documentation.
- Ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly.
- An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity.
- Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines.
- Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records.
- Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems.
PROFESSIONAL QUALIFICATION:
- Hands-on experience in coding Emergency Department services along with Critical care.
- Sound knowledge in Medical Terminology, Human Anatomy & Physiology.
- Proficient in ICD-10-CM, CPT, and HCPCS guidelines.
Interested candidates can contact and share the resumes on the below mentioned
Shiva Dosapati
do***********a@op**m.com
Job Classification
Industry: Analytics / KPO / ResearchFunctional Area / Department: Healthcare & Life SciencesRole Category: Health InformaticsRole: Medical Biller / CoderEmployement Type: Full timeContact Details:
Company: OptumLocation(s): Hyderabad
Keyskills: Medical Coding Ccs CPT CPC medical coder Certified Cic
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Optum
About: OptumInsight India Pvt Ltd, a UnitedHealth group company is a leading health services and innovation company dedicated to help make the health system work better for everyone. With more than 115,000 people worldwide, Optum combines technology, data and expertise to improve the delivery, ...
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