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Medical Coder

LocationIndia_Bangalore

Typefull-time

Company size501–1,000 people

First seen1w ago

Last seen1d ago

Company:

AHIPL Agilon Health India Private Limited

Job Posting Location:

India_Bangalore

Job Title:

Medical Coder

Job Description:

Primary responsibilities:

•

Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.

•

Review medical record information to identify all appropriate coding based on CMS HCC model.

•

Review medical record information to identify all appropriate HEDIS exclusion codes that do not map in the CMS HCC model.

•

Review medical record information to identify all appropriate CPT II procedure coding

•

Utilize medical coding software programs or reference materials to identify appropriate codes

•

Complete appropriate system entry regarding claim/encounter information.

•

Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable clinical codes

•

Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.

•

Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.

•

Performs AHIMA/ACDIS compliant queries to providers when necessary

•

Apply post-query response to make final determination

•

Participate in ongoing training and education within assigned timeframe

•

Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations

•

Communicates to leadership issues and barriers to completing all work processesEducate and mentor others to improve medical coding quality

May participate in special project auditing as required

•

All other duties as assigned by leadership

Location:

India_Bangalore

More roles at agilon health

Manager, Actuarial Services – Tools & Models Director of Value Based Care Regulatory Compliance Hybrid Clinical Program Manager Operations and Planning Manager Program Manager

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← Back

agilon health

Medical Coder

LocationIndia_Bangalore

Typefull-time

Company size501–1,000 people

First seen1w ago

Last seen1d ago

Company:

AHIPL Agilon Health India Private Limited

Job Posting Location:

India_Bangalore

Job Title:

Medical Coder

Job Description:

Primary responsibilities:

•

Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.

•

Review medical record information to identify all appropriate coding based on CMS HCC model.

•

Review medical record information to identify all appropriate HEDIS exclusion codes that do not map in the CMS HCC model.

•

Review medical record information to identify all appropriate CPT II procedure coding

•

Utilize medical coding software programs or reference materials to identify appropriate codes

•

Complete appropriate system entry regarding claim/encounter information.

•

Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable clinical codes

•

Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.

•

Maintain a comprehensive tracking and management tool to track all HCC activities and ensure that all tasks are completed in a timely manner.

•

Performs AHIMA/ACDIS compliant queries to providers when necessary

•

Apply post-query response to make final determination

•

Participate in ongoing training and education within assigned timeframe

•

Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations

•

Communicates to leadership issues and barriers to completing all work processesEducate and mentor others to improve medical coding quality

May participate in special project auditing as required

•

All other duties as assigned by leadership

Location:

India_Bangalore

More roles at agilon health

Manager, Actuarial Services – Tools & Models Director of Value Based Care Regulatory Compliance Hybrid Clinical Program Manager Operations and Planning Manager Program Manager

Seekless

Product

Find jobs Companies Pricing

Legal

Privacy Terms Cookies