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Key skills for this role
CGM Aria Health Services is seeking an experienced Medical Coder to join our growing healthcare team. The ideal candidate will have a minimum of 2 years of experience in E&M coding and a strong understanding of medical coding principles and guidelines.
Apply diagnostic & procedural codes to individual patient individual health data for claims processing and ensure the claims are paid by payers. Review denials for coding lapses and suggest corrective and preventive actions. Review E/M charts and minor procedures, Lab and imaging performed during the visit.
High Performing Team: You will play an integral part in helping shape a close-nit, elite team within CGM that can move fast, with accuracy and hit deadlines with confidence.
In-Person Team Environment: The role and the team will be onsite in Noida. We’re making work human again. No more working with people that you never meet in person. In this role, you will build in-person relationships with your team, and friendships for years to come.
Comprehensive Benefits: Extensive group health and accidental insurance programs.
Seamless Onboarding: A safe digital application process and a structured onboarding program.
Engagement Activities: Tons of fun at work with engagement activities and entertaining games.
Career Growth: Various career growth opportunities and a lucrative merit increment policy.
Job Security: A recession-proof and secure workplace for our entire workforce.
Flexible Transportation: Choose between a self-transport allowance or our pick-up/drop-off service.
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Subsidized Meals: Enjoy our kitchen and food hall with subsidized meals, for your convenience.
Thorough understanding of the contents of medical record in order to identify information to support coding.
Sound knowledge of anatomy & physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded.
Should have an understanding of claims form and reimbursement process.
Abstracts pertinent information from patient medical records. Assigns ICD-10-CM, CPT/HCPCS codes, and modifiers.
Utilizing CCI edits, LCD policies, CPT and Clinical guidelines while assigning codes.
Reviews denials for coding lapses and suggests coding changes for corrective and preventive (root cause) action by DHT (denial handling team) team.
Actively reviews denials and research to create claims scrubber edit which will prevent specific coding denials permanently.
Notifies Coding Manager/Account Manager or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs.
Keeps self-updated of coding guidelines and federal reimbursement requirements, actively participates in and contributes to coding team presentations on Advance/Refresher Coding topics.
Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
Verified company details for this employer are not available yet.
Full-time
Mid · 2+ years experience
Onsite
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