Hiring for Medical Coder Vacancy @ HGS for CPC Coders in Bengaluru/Bangalore, Chennai for Exp. 0 - 1 yrs at Hinduja Global Solutions Limited..
Bangalore, Karnataka, India
May 17, 2018
General Admin, Others
Job Description:Ongoing/Retrospective reviewing of claim including medical records, procedure and diagnosis codes and appeal letters from providers for reconsideration on coding related denials The coders should have knowledge of CPT coding guidelines Coder should have the ability/skills to identify the up-coded medical records by the provider by following current coding guidelines. Certified coders are in charge of examining the medical records and to determine if the edit was appropriately applied to the claim based upon the information documented The coders will audit and re-file appeals of denied claims. Identifying frequent fraudulent practices from providers and reporting such activities to reduce fraud Remain abreast of all government, insurance and third-party payer regulations and assists in updating policies and procedures as appropriate to comply with current reimbursement requirements Requires analytical/critical thinking to validate coding and thorough review of medical records to validate medical necessity Sound knowledge in medical coding - ICD-9-CM ICD-10 CPT codes, E/M, HCC, Multispecialty exposure. Good Knowledge on Medical terminology and Anatomy & amp amp Physiology. Ability to pay attention to detail