Certified Coding Specialist- Physician - Chennai, India - Trove Consulting Private Limited

    Trove Consulting Private Limited
    Trove Consulting Private Limited Chennai, India

    2 weeks ago

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    Description

    Overview:

    The CertifiedCoding SpecialistPhysician plays a crucial role in accuratelyassigning codes for medical services and procedures provided byphysicians. They ensure compliance with coding guidelines maintainpatient records and support the revenue cycle managementprocess.

    KeyResponsibilities:

    • Assign accurateICD10CM and CPT codes to physician services andprocedures
    • Review medical records to ensuredocumentation supports the codesassigned
    • Adhere to coding and complianceguidelines including HIPAAregulations
    • Collaborate with physicians andother healthcare professionals to clarifydocumentation
    • Abstract clinical data formedical research and statisticalreports
    • Resolve codingrelated denials andrejections through appeals and communication withpayers
    • Stay updated with changes in codingregulations and healthcare laws
    • Provide codingeducation and support to physicians clinicians and administrativestaff
    • Participate in coding audits and qualityimprovement initiatives
    • Conduct coding reviewsto identify potential areas forimprovement
    • Assist in the implementation andoptimization of electronic health recordsystems
    • Ensure confidentiality and security ofpatient information
    • Collaborate with billingand compliance teams to support revenue cyclemanagement
    • Handle codingrelated inquiries andprovide accurate and timelyresponses
    • Participate in professionaldevelopment activities to enhance coding knowledge andskills

    RequiredQualifications:

    • Bachelors degree inHealth Information Management or relatedfield
    • Active Certified CodingSpecialistPhysician (CCSP)certification
    • Thorough understanding of ICD10CMand CPT coding guidelines
    • Proficiency inmedical terminology and anatomy
    • Knowledge ofhealthcare laws regulations and compliancerequirements
    • Experience in physicianbasedcoding in a healthcare setting
    • Familiarity withelectronic health record systems and codingsoftware
    • Strong analytical and criticalthinking skills
    • Effective communication andinterpersonal abilities
    • Attention to detail andaccuracy in coding and documentation
    • Ability toprioritize and manage workloadeffectively
    • Adaptability to evolving codingpractices and industry changes
    • Commitment toupholding ethical standards and confidentiality inhealthcare
    • Continuous learning and professionaldevelopment mindset
    • Team player with acollaborative and supportiveattitude

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