Roles and Responsibilities:

• To code on medical reports assigning appropriate CPT & ICD codes based on the documentation and per the client specification.
• Work on medical reports assigning appropriate CPT, ICD and modifiers based on the documentation provided.
• Performs assigned tasks/complete targets with speed and accuracy as per client SLAs.
• Communication / Issue escalation to seniors if there is any in a timely manner.
• Willing to learn and keep self-updated with the latest codes.
• Work cohesively in a team setting. Assist team members to achieve shared goals.
• Determine the medical necessity based on the provided medical data.
• Ability to understand medical history and summarize to a precise abstract.
• Support billers and AR analysts.
• Document feedback on errors in clinical documentation at a facility and physician-specific levels.

Skills:

• Good working knowledge of Anatomy and Physiology as well as Medical Terminology determine basic treatment protocols.
• Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM and CPT.
• Any Certified Medical Coder (CPC, COC, CIC, CCS), who have min 1 year of experience in Workers Compensations Claims. (Physical Therapy, Chiro, Physiotherapist, Acupuncture)
• Understand the causes of claim denials and continually improve coding standards.
• Experience in using electronic medical records applications (Knowledge of PrognoCIS, Daisy Bill will be preferred)
• Working knowledge of HIPAA regulations, medical codes, and billing terminology.
• Excellent interpersonal skills and good oral and written communication skills
• Must have a good working knowledge of Microsoft Office.
• Any Graduate in Any Specialization
• 3 plus years of experience in US Health care will be preferred.