Job Overview: We are seeking a detail-oriented and experienced Certified Medical Coder/Quality Controller to join our team. Having billing experience will be an added advantage to this position. As a Medical Coder, you will play a crucial role in ensuring accurate coding/billing. Having good workers' compensation knowledge. Salary is negotiable if all the expectations are met.
Key Responsibilities
- Pull and review progress reports from Electronic Health Record System (ECW)
- Perform comprehensive review of the physician’s treatment report
- Review treatment plans, subject lines, and clinical documentation for compliance
- Analyze reports to determine appropriate CPT and ICD-10 codes, including modifiers
- Ensure the document is consistent with current coding guidelines and payer-specific requirements
- Take action to send the report for billing.
- Support quality and compliance processes within the Orthopaedic billing workflow.
- Validate completeness and integrity of SOAP notes (Subjective, Objective, Assessment, Plan).
Required Knowledge & Skills
- Strong knowledge of Orthopaedic billing and coding practices.
- Expertise in reviewing clinical progress reports and provider interpretations.
- Skilled in X-ray coding and applicable CPT modifiers (Modifier 25, bilateral modifiers, Work Comp modifiers).
- Proven understanding of injection coding protocols.
- Familiarity with NDC (National Drug Code) numbers and appropriate application.
- Ability to reconcile clinical interpretation with correct billing and coding selections.
- High accuracy, attention to detail, and ability to identify documentation gaps.
Software Requirements
- Hands-on experience using ECW (eClinicalWorks) and Daisy Bill.
Candidate Requirements:
- Must work the Nightshift with no exceptions (8:20 PM- 5:30 AM).
- Minimum of 2.5 years of experience in medical coding with expertise in Orthopedic.
- Excellent written and oral communication skills with clients and team.
- Excellent computer skills (Excel, Word, MS Teams, and emails)
- Strong analytical and problem-solving skills.
- Ability to prioritize tasks and meet deadlines.
Perks and Benefits
- Career Advancement Opportunities - Promotions and IJPs
- Insurance - Group Health insurance (Optional).
- Bonuses - Yearly encashment of CLs and ELs
- PF
- ESI (if eligible)
- Opportunities for professional training
- Food and Beverages - Subsidized meals, free snacks, and beverages in the office.
Pay: ₹40,000.00 - ₹70,000.00 per month
Work Location: Remote
