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Medical Coder

Saama Technologies, Inc

Maharashtra, India (On-site)

Medical Coder

2 Weeks ago • All levels

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Job Description

The Medical Coder reviews, analyzes, and interprets clinical documentation from ancillary, laboratory, and pathology settings. They apply ICD-10-CM and CPT codes according to coding conventions, AHA policies, Medicare and other payer requirements, and official guidelines. Responsibilities include assigning correct ASC/APC modifiers for reimbursement, assigning revenue codes for CPT codes, resolving edit accounts and late charges, and ensuring all clinical tests meet medical necessity. Proficiency in computer skills (Microsoft Office Suite), medical coding knowledge, and coding systems is required. The ideal candidate will possess strong analytical skills, the ability to work independently and within a team, and experience in a fast-paced environment.

Must have:

ICD-10-CM & CPT coding
Ancillary, Lab, Pathology coding experience
AHA coding policy knowledge
Medical necessity understanding
Proficiency in Microsoft Office Suite
CCS, CCS-P, CCA, COC, or CPC certification

Description

Essential Responsibilities:

Reviews, analyzes and interprets clinical documentation in Ancillary, Laboratory and Pathology setting and applying ICD 10 CM and CPT codes in accordance with ICD10 and CPT coding conventions, AHA coding policy & procedures, requirements of Medicare and other payer specifications and official coding guidelines as outlined by governing bodies. Assigns correct ASC/APC modifiers to ensure appropriate reimbursement. Assigns correct revenue codes for all CPT codes, when applicable. Resolves edit accounts, re-classed accounts, and late charges and notifying supervisor of accounts which cannot be resolved in a timely manner through normal coding encounters. Ensures all clinical tests performed meet medical necessity according to local and national policies.

Qualifications: Knowledge, Skills, and Abilities:

Professional Coding Experience in Ancillary, Laboratory and Pathology setting encounters. Ability to multi-task in a fast paced working environment. Ability to work independently in a production environment Ability to build relationships both internally and externally. Demonstrated proficiency in computer skills and typing, i.e., Microsoft Windows, Outlook, Word, Excel, PowerPoint, Internet browsers, etc. Demonstrated knowledge of medical codes, coding conventions and rules. Demonstrated experience with coding systems. Working knowledge of HIPAA Privacy and Security Rules.

Certifications (One of the following Required):

CCS, CCS-P, CCA, COC or CPC

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