Key Responsibilities:
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Review operative reports and clinical documentation to assign accurate CPT, ICD-10-CM, and HCPCS codes for ambulatory surgical procedures.
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Ensure coding accuracy and completeness in compliance with AAPC, AHIMA, CMS, and payer-specific guidelines.
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Validate medical necessity and linkage between diagnoses and procedures.
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Query physicians or clinical staff when documentation is unclear or incomplete.
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Maintain productivity and quality standards as defined by the organization.
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Keep updated with the latest coding guidelines, payer rules, and regulatory changes.
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Participate in internal audits and quality improvement initiatives.
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Ensure data confidentiality and compliance with HIPAA regulations.
Required Skills & Competencies:
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Strong knowledge of CPT (including modifiers), ICD-10-CM, and HCPCS Level II coding.
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In-depth understanding of outpatient/ambulatory surgery center (ASC) coding guidelines and payer regulations.
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Ability to interpret operative reports and surgical terminology.
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Proficiency with EHR systems and coding/billing software
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Strong analytical and problem-solving skills.
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Excellent written and verbal communication skills.
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Ability to work independently and meet deadlines with high accuracy.
Work Mode: Work from home after 6 Months
Interested Contact : Ramakanth (9063604458)
Regards,
Talent Acquisition Team
Eclat Health Solutions Pvt. Ltd.
