Coding Analyst | India

Advantum Health

Posted: Nov. 13, 2024 Openings: 10 Experience: 2+ Salary: Preferred by Company
Education: B.Sc/ M.Sc/ B.E/ M.E./ B.Com/ M.Com/ BBA/ MBA/B.Tech/ M.Tech/ All Graduates Location: India
Job Type: Full Time Skills required: Python .net React Native Django Javascript HTML CSS Typescript Communication Skills Power Bi Numpy Pandas Sql machine learning Data Analysis Coimbatore Data Science Java Adobe XD Figma php wordpress Artificial Intelligence Excel

Job description

Job Title: Coding Analyst
Position Summary:
The Coding Analyst is responsible for reviewing, auditing, and coding medical records to ensure reimbursement, training, education, and compliance. The primary role is to assess medical records for complete and accurate documentation and collaborate with departments and providers to identify improvement opportunities.

Qualifications:

CPC Certification through AAPC or AHIMA, Required
In-depth knowledge of clinical workflow
Expert in Microsoft Office products, including Word and Excel
Minimum 5 years of coding knowledge, including E&M and surgery
Training experience preferred
Expert experience with CCI edits
Revenue Cycle Management (RCM) experience required
Denial management and appeals experience preferred
Strong verbal and written communication skills
Understanding of billing and coding requirements for government and commercial payers

Responsibilities:

Review medical records to determine the appropriate codes for each diagnosis and procedure.
Ensure coding is accurate and complies with all relevant regulations and guidelines.
Communicate with healthcare providers to obtain additional information when necessary.
Provide feedback and education to healthcare providers on coding and documentation best practices.
Conduct audits of coding processes and documentation to identify improvement opportunities.
Stay up-to-date on changes to coding regulations and guidelines and update coding processes accordingly.
Collaborate with other healthcare professionals, such as physicians and billing specialists, to ensure billing and reimbursement processes are efficient and accurate.
Advanced proficiency with MS-Excel, Word, and PowerPoint.
Account for internal control responsibilities in line with the organization’s objectives.
Ensure HIPAA compliance when handling Protected Health Information (PHI).
Perform additional account management duties as requested or assigned.