Erragadda Hyderabad Telangana Senior coder Jobs – 268 Open Jobs Today

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LSHC - Outpatient Coder - Senior Consultant

Deloitte -
Hyderabad, Telangana

Apply Now

Job details

Qualifications

Medicine
Meditech
Risk management
CPT coding
EMR systems
Leadership
Billing
Analytics

Full job description

Conducts coding and billing compliance reviews on medical records to validate the ICD-10-CM and ICD-10-PCS codes, CPT and HCPCS codes for various specialty (including but not limited to Inpatient, outpatient, professional and Medicare advantage setting). The review of the medical documentation is conducted to identify additional missed provider documentation clarifications and/or missed coding opportunities. The professional will utilize the following resources to perform the reviews (not inclusive): The Official Coding Guidelines, ICD-10-CM/PCS, CPT and HCPCs coding guidelines, Federal and State regulations, the American Hospital Association (AHA) coding guidelines including the Coding Clinic and American Medical Association’s (AMA) CPT Assistant publications and American Health Information Association (AHIMA) compliant query guidelines.

Work you'll do

As an Senior Consultant or equivalent on the Regulatory Healthcare Practice team, you will be responsible for supporting coding and billing compliance reviews, identifying documentation and coding opportunities, and helping clients address regulatory and operational challenges.

Perform coding and billing quality reviews for outpatient and professional encounters to validate diagnosis, procedure, modifier, and payment accuracy.
Review medical documentation to identify missed coding opportunities, missed documentation clarification opportunities, and medical necessity considerations.
Evaluate coder-generated clinical documentation queries for appropriateness and compliance with applicable guidance.
Research coding and billing regulations, payer requirements, and industry standards to support review findings and recommendations.
Prepare written rationales, track assigned work, report findings to stakeholders, and support training, mentoring, and education efforts.

The team

Deloitte’s Risk & Financial Advisory provides you an opportunity to gain valuable hands-on experience working alongside leading professionals across diverse industries while building your professional skills in a variety of project experiences. Our Deloitte Risk & Financial Advisory practice helps organizations effectively navigate business risks and opportunities—from strategic, reputation, and financial risks to operational, cyber, and regulatory risks—to gain competitive advantage. We apply our experience in ongoing business operations and corporate lifecycle events to help clients become stronger and more resilient. Our market-leading team’s help clients embrace complexity to accelerate performance, disrupt through innovation, and lead in their industries.

Location: Hyderabad

Shift Timings: 11 AM to 8 PM / 2 PM to 11 PM

Qualifications

Required:

8+ years of experience auditing complex outpatient, hospital outpatient, and professional coding and US healthcare claims
Active coding certification from the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC), such as CCS, CPC, or CIC
Experience designing, implementing, and operating risk management and compliance activities
Experience using electronic medical record systems such as Cerner, Allscripts, MDAudit, and Meditech
Experience using hospital coding encoder tools such as Epic, 3M, and Triode
Knowledge of institutional and professional claims, billing rules, reimbursement methodologies, and Centers for Medicare & Medicaid Services (CMS) guidelines

Preferred:

Experience participating in risk, quality, and compliance transformation programs
Experience using data and analytics to support risk management, quality, and compliance activities
Prior consulting experience
Degree in medicine or an allied healthcare field

Our purpose

Deloitte’s purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.

Our people and culture

Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ways of thinking, ideas and perspectives, and bring more creativity and innovation to help solve our clients’ most complex challenges. This makes Deloitte one of the most rewarding places to work.

Professional development

At Deloitte, professionals have the opportunity to work with some of the best and discover what works best for them. Here, we prioritize professional growth, offering diverse learning and networking opportunities to help accelerate careers and enhance leadership skills. Our state-of-the-art DU: The Leadership Center in India, located in Hyderabad, represents a tangible symbol of our commitment to the holistic growth and development of our people. Explore DU: The Leadership Center in India.

Benefits to help you thrive

At Deloitte, we know that great people make a great organization. Our comprehensive rewards program helps us deliver a distinctly Deloitte experience that helps that empowers our professionals to thrive mentally, physically, and financially—and live their purpose. To support our professionals and their loved ones, we offer a broad range of benefits. Eligibility requirements may be based on role, tenure, type of employment and/ or other criteria. Learn more about what working at Deloitte can mean for you.

Recruiting tips

From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters.

Requisition code: 358990

Apply Now

Refine Your Search

senior coder jobs in erragadda hyderabad telangana

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